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Neurology (Expert Forum)
CAD, Horner's Syndrome with dysphagia and hypertension
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.
CAD, Horner's Syndrome with dysphagia and hypertension
by marlostuart, Mar 07, 2004 12:00AM
Dear Sir/Madam,
A few weeks ago, I went to my GP on a Thursday. My bloodpressure was 200/120 and I was given medication (Selokeen, a beta-blocker).
On Sunday, I had a typical Carotid Artery Dissection headache (ipsilateral) which started in the lower neck and crawled up to my face. On Monday morning I noticed left-sided Horner's Syndrome, including a bruit. I cannot tell you if I have anhydrosis, but the skin under my hair (left side) is painful when I brush it.
One week later, I started having difficulty swallowing (residues remain in the back of my mouth) and talking seemed more difficult and nasal (I can pronounce everything).
The hypertension remained high (180/110) and Coversyl (an Ace-slower)was added.
A CT-scan, Thorax, Duplex, MEP, and a MRI/MRA was made of the upper and lower brain and neck. The Duplex and MRI/MRA showed a Carotid Artery Dissection, no medication as yet.
Strangely enough - the MEP showed a significant difference (>10%)of my left leg (I also fell to the left side when I was standing feet together with my eyes closed - but both my feet can feel tickling). My neurologist suggests an MRI of the spinal chord and a lumbar puncture, and feels it may be a coďncidence that we have come across this finding. My mother has MS (not progressive), no other relatives have. The brain/neck MRI did not show signs of MS.
I can't link the hypertension and dysphagia to the CAD. Can dysphagia be part of Horner's and can hypertension be the cause of CAD - or vice-versa? Many thanks,
Marlo Stuart
female, 34 years old
Amsterdam, The Netherlands
A few weeks ago, I went to my GP on a Thursday. My bloodpressure was 200/120 and I was given medication (Selokeen, a beta-blocker).
On Sunday, I had a typical Carotid Artery Dissection headache (ipsilateral) which started in the lower neck and crawled up to my face. On Monday morning I noticed left-sided Horner's Syndrome, including a bruit. I cannot tell you if I have anhydrosis, but the skin under my hair (left side) is painful when I brush it.
One week later, I started having difficulty swallowing (residues remain in the back of my mouth) and talking seemed more difficult and nasal (I can pronounce everything).
The hypertension remained high (180/110) and Coversyl (an Ace-slower)was added.
A CT-scan, Thorax, Duplex, MEP, and a MRI/MRA was made of the upper and lower brain and neck. The Duplex and MRI/MRA showed a Carotid Artery Dissection, no medication as yet.
Strangely enough - the MEP showed a significant difference (>10%)of my left leg (I also fell to the left side when I was standing feet together with my eyes closed - but both my feet can feel tickling). My neurologist suggests an MRI of the spinal chord and a lumbar puncture, and feels it may be a coďncidence that we have come across this finding. My mother has MS (not progressive), no other relatives have. The brain/neck MRI did not show signs of MS.
I can't link the hypertension and dysphagia to the CAD. Can dysphagia be part of Horner's and can hypertension be the cause of CAD - or vice-versa? Many thanks,
Marlo Stuart
female, 34 years old
Amsterdam, The Netherlands
Doctor's Answer
by CCF-Neuro-M.D.-CS, Mar 09, 2004 12:00AM
There are two syndromes which could explain your symptoms, called Collet-Sicard and Villaret's syndrome. These are names for syndromes which occur when certain nerves of the face and neck are injured. Carotid dissection could cause these syndromes. A carotid dissection could be due to high blood pressure, or could theoretically cause high blood pressure in the syndromes previously mentioned. You should discuss this with your doctor. Good luck.
