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Photophobia as the Presenting Symptom of Internal Carotid Artery Dissection
Francesco Pellegrini1, Daniele Cirone2, Altin Stafa3
1Department of Ophthalmology, AULSS2 Marca Trevigiana, Conegliano, TV, Italy.
Abstract:
A 53-year-old man developed right eye photophobia after a hypertensive crisis, followed by right-sided headache and retro-orbital pain. On examination, a right Horner syndrome was evident and an urgent brain and neck Computed Tomography confirmed the suspicion of an internal carotid artery (ICA) dissection. While photophobia may occur in many neurological disorders, to our knowledge, it has never been described when the ICA is involved. Possible hypotheses of photophobia caused by carotid artery dissection are discussed.
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