Horner's syndrome in traumatic first rib fracture without carotid injury; review of anatomy and pathophysiology

Horner's syndrome in traumatic first rib fracture without carotid injury; review of anatomy and pathophysiology

Summary: Case report of a 51 year old man involved in a motor vehicle accident presenting with multiple thoracic wall injury, including bilateral first rib fractures. He slowly developed a right sided Horner's syndrome due to a right paravertebral haematoma. The initial imaging did not display...

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Main Authors: A. Ofri, V. Malka, S. Lodh
Format: Article
Language:English
Published: Elsevier 2017-04-01
Series:Trauma Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644017300043
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spelling doaj-c51d8c068a3341b6b8b2ffff658818552020-11-25T00:52:42ZengElsevierTrauma Case Reports2352-64402017-04-01814Horner's syndrome in traumatic first rib fracture without carotid injury; review of anatomy and pathophysiologyA. Ofri0V. Malka1S. Lodh2Trauma Department, Liverpool Hospital, Elizabeth Street, Liverpool, NSW 2170, Australia; Corresponding author.Trauma Department, Liverpool Hospital, Elizabeth Street, Liverpool, NSW 2170, AustraliaRadiology Department, Liverpool Hospital, Elizabeth Street, Liverpool, NSW 2170, AustraliaSummary: Case report of a 51 year old man involved in a motor vehicle accident presenting with multiple thoracic wall injury, including bilateral first rib fractures. He slowly developed a right sided Horner's syndrome due to a right paravertebral haematoma. The initial imaging did not display any carotid injury, however the developing right paravertebral haematoma was not initially reported. We review the anatomy and pathophysiology of this well-known but rare condition to show how first rib fractures should raise suspicion of Horner's syndrome irrespective of the presence or absence of any underlying blunt carotid injury. Keywords: Trauma, First rib fracture, Horner's syndrome, Blunt carotid injuryhttp://www.sciencedirect.com/science/article/pii/S2352644017300043
collection DOAJ
language English
format Article
sources DOAJ
author A. Ofri
V. Malka
S. Lodh
spellingShingle A. Ofri
V. Malka
S. Lodh
Horner's syndrome in traumatic first rib fracture without carotid injury; review of anatomy and pathophysiology
Trauma Case Reports
author_facet A. Ofri
V. Malka
S. Lodh
author_sort A. Ofri
title Horner's syndrome in traumatic first rib fracture without carotid injury; review of anatomy and pathophysiology
title_short Horner's syndrome in traumatic first rib fracture without carotid injury; review of anatomy and pathophysiology
title_full Horner's syndrome in traumatic first rib fracture without carotid injury; review of anatomy and pathophysiology
title_fullStr Horner's syndrome in traumatic first rib fracture without carotid injury; review of anatomy and pathophysiology
title_full_unstemmed Horner's syndrome in traumatic first rib fracture without carotid injury; review of anatomy and pathophysiology
title_sort horner's syndrome in traumatic first rib fracture without carotid injury; review of anatomy and pathophysiology
publisher Elsevier
series Trauma Case Reports
issn 2352-6440
publishDate 2017-04-01
description Summary: Case report of a 51 year old man involved in a motor vehicle accident presenting with multiple thoracic wall injury, including bilateral first rib fractures. He slowly developed a right sided Horner's syndrome due to a right paravertebral haematoma. The initial imaging did not display any carotid injury, however the developing right paravertebral haematoma was not initially reported. We review the anatomy and pathophysiology of this well-known but rare condition to show how first rib fractures should raise suspicion of Horner's syndrome irrespective of the presence or absence of any underlying blunt carotid injury. Keywords: Trauma, First rib fracture, Horner's syndrome, Blunt carotid injury
url http://www.sciencedirect.com/science/article/pii/S2352644017300043
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AT vmalka hornerssyndromeintraumaticfirstribfracturewithoutcarotidinjuryreviewofanatomyandpathophysiology
AT slodh hornerssyndromeintraumaticfirstribfracturewithoutcarotidinjuryreviewofanatomyandpathophysiology
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