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Updated: May 31, 2026
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Focal Cerebral Ischemia Model by Endovascular Suture Occlusion of the Middle Cerebral Artery in the Rat
Published on: February 5, 2011
A patient with internal carotid artery dissection
Gilbert M Willett1, Neal A Wachholtz
1Division of Physical Therapy Education, University of Nebraska Medical Center, 984420 Nebraska Medical Center, Omaha, NE 68198-4420, USA. gwillett@unmc.edu
Physical Therapy
|June 25, 2011
Summary
Physical therapists should recognize Horner syndrome as a critical red flag. This case highlights its association with internal carotid artery dissection, necessitating prompt medical referral for this emergency.
Area of Science:
- Neurology
- Physical Therapy
- Vascular Medicine
Background:
- Physical therapists play a crucial role in identifying neurological red flags.
- Early recognition of Horner syndrome is vital for timely intervention.
Observation:
- A patient presented with neck pain and headache post-whiplash injury.
- Clinical signs suggestive of Horner syndrome were observed during physical therapy examination.
- These signs prompted immediate concern and physician referral.
Findings:
- Magnetic resonance imaging angiogram revealed internal carotid artery dissection.
- The patient's Horner syndrome was a direct indicator of this vascular emergency.
Implications:
- This case underscores the importance of physical therapist awareness of Horner syndrome.
- Prompt referral for suspected Horner syndrome can lead to early diagnosis and management of life-threatening conditions like carotid artery dissection.
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