Carotid artery dissection after prolonged head tilting while holding a newborn baby to sleep
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Case report.
A Chinese woman aged 41 years sought treatment at the Prince of Wales Hospital in Hong Kong in November 2001 for sudden-onset right eye blindness. She had good heath in the past and had a normal spontaneous nontraumatic delivery 2 months previously. She had acute loss of vision predominantly affecting the lateral aspect of right eye, which gradually resolved in few days with mild residual blurred vision. There was no preceding headache, neck pain, or other neurologic complaints. There was no recent history of trauma or exercise that involved excessive neck movement, such as yoga. On detailed questioning about any recent abnormal posture or exercise, she reported she had constant neck tilting to the right side every night since her baby was born 2 months earlier, so that her head was in constant contact with her newborn baby during sleep …
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