Send to

Choose Destination
See comment in PubMed Commons below
Int Med Case Rep J. 2010 Apr 1;3:31-4. Print 2010.

Intercavernous portion of internal carotid artery occlusion resulting from snowboarding.

Author information

Department of Orthopaedics, University Hospital of Wales, Cardiff, UK.


A 33-year-old gentleman who was otherwise fit and healthy suffered repetitive low impact head injuries while snowboarding in Austria over a period of one week. During the fall he had several hyperextension injuries and presented with headache, nausea, vomiting, drowsiness (felt 'drunk' on Friday night despite not being drunk), diplopia, abnormal pupillary signs. A Horner's syndrome was diagnosed and on investigation, the left intercavernous portion of internal carotid artery (ICA) was found to be thrombosed. The symptoms gradually settled after conservative treatment for a month. Blunt head trauma is a recognized cause of carotid dissection and thrombosis and many neuromechanics studies have attempted to calculate the wall shear stress involved. Physicians treating snowboarders should be aware of the condition and should look for Horner's syndrome and consider the possibility of carotid occlusion. With a thorough PubMed, Ovid, EMBASE search using 'snowboarding', 'carotid dissection', 'Horner's syndrome' no such case was found to be reported. Proper training for such sport activities is essential to avoid serious consequences.


Horner’s syndrome; carotid dissection; snowboarding

PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Support Center