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¹Hospital del Mar, Neurosurgery Department, Barcelona, Spain
²Hospital del Mar, Neurology Department, Barcelona, Spain
³Hospital del Mar, Neuroradiology Department, Barcelona, Spain
⁴Hospital del Mar, Anesthesiology Department, Barcelona, Spain DOI : 10.5137/1019-5149.JTN.10155-13.1 Dissection of the internal carotid artery is a rare cause of stroke overall, but causes 22% of strokes in younger patients. A common clinical presentation is as Claude Bernard Horner syndrome. We report a craniotomy with 30 degrees rotation of the neck (standard position) in a patient with no major risk factors for carotid dissection, who showed a Pourfour du Petit syndrome due to a dissection of the internal carotid artery. To the best of our knowledge, this is the first reported case in which a common surgical position causes an internal carotid artery dissection in a patient without relevant risk factors. The presentation with Pourfour du Petit syndrome is extremely unusual. Keywords : Carotid dissection, Pourfour du Petit syndrome, Neck rotation