![Case study#1 [ANSWER IN COMMENTS]](https://cdn.medizzy.com/OfjTBrnZMdUu7EgD-JSs1mIk05g=/680x385/img/posts/f05e7737-8f6c-471b-9e77-378f6c071b66)
Case study#1 [ANSWER IN COMMENTS]
A 30-year-old patient who arrives at the emergency room with sudden transient amaurosis of the right eye and headache with pain in the right cervical region. On the physical examination, there is a right Horner syndrome. What is the most probable diagnosis, among the following? 1) Right carotid stenosis. 2) Traumatic subdural hematoma. 3) Right carotid dissection. 4) Thrombosis of the central retinal artery. 5) Horton syndrome.
The answer is... 3, right carotid dissection. 1) the onset is not acute, could be an embolus from the stenosis but wouldn't be present other manifestation like Horner syndrome. 2) the onset is more slow, there aren't typical signs of SDH. 4) amaurosis fugax is a common presentation in acute central retinal artery occlusion, but the other symptoms don't. 5) Horton syndrome, is very rare under age of 50. remember this typical presentation in a patient with cervical pain, Horner syndrome, amaurosis, headache. You should suspect carotid dissection and is an indication for echography
