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Journal of Pediatric Neurology 2013; 11(03): 189-191
DOI: 10.3233/JPN-130615
Georg Thieme Verlag KG Stuttgart – New York

Pourfour du Petit syndrome caused by traumatic pseudo-aneurysm of the internal carotid artery

Rodrigo Becco de Souza
a   Department of Surgery, Division of Neurosurgery, Santa Casa Medical School, São Paulo, Brazil
,
Guilherme Brasileiro de Aguiar
a   Department of Surgery, Division of Neurosurgery, Santa Casa Medical School, São Paulo, Brazil
,
Jefferson Walter Daniel
a   Department of Surgery, Division of Neurosurgery, Santa Casa Medical School, São Paulo, Brazil
,
Mário Luiz Marques Conti
a   Department of Surgery, Division of Neurosurgery, Santa Casa Medical School, São Paulo, Brazil
,
José Carlos Esteves Veiga
b   Department of Neurosurgery, Santa Casa Medical School, São Paulo, Brazil
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Publication History

10 December 2012

14 January 2013

Publication Date:
30 July 2015 (online)

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Abstract

Pourfour du Petit syndrome, or reverse Horner syndrome, is described as an overactive sympathetic nervous system, being characterized by mydriasis, eyelid retraction, and hyperhidrosis. We described a case of Pourfour du Petit syndrome after cervical injury by gunshot, with a little review about this rare syndrome. Angiography revealed dissection and formation of pseudo aneurysm of the left carotid artery. We believe that this lesion caused hyper-stimulation of the left cervical sympathetic chain, resulting in reverse Horner syndrome or Pourfour du Petit syndrome. There was reversal of symptoms spontaneously after 3 wk.

Keywords

Horner syndrome - autonomic nervous system - Pourfour du Petit syndrome - carotid artery dissection