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Horner's Syndrome Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • Surgery

Ongoing Care

  • Prognosis
  • Complications
The following is an excerpt....
BASICS
Description
  • Horner’s syndrome is caused by the interruption of sympathetic nerve supply to the eye, resulting in a classic triad of miosis, eyelid ptosis, and/or absence or decrease of sweating of the ipsilateral face and neck (hypohidrosis):
    • Central or preganglionic lesion (complete syndrome)—1st- or 2nd-order neuron
    • Peripheral postganglionic lesion (incomplete syndrome, no anhydrosis)—3rd-order neuron
  • System(s) affected: Nervous; Skin/Exocrine
  • Synonym(s): Bernard-Horner syndrome; Bernard syndrome; Cervical sympathetic syndrome; Oculosympathetic syndrome; Oculosympathetic paralysis; Oculosympathetic deficiency
Epidemiology
  • Predominant age: None
  • Predominant sex: Male = Female
Incidence

Unknown

Prevalence

Unknown

Risk Factors
  • Most common: Apical bronchogenic carcinoma (Pancoast tumor) in smokers
  • Aneurysm of the carotid or subclavian artery
  • Injuries to the carotid artery high in ...

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See Also
Images >
Figure 9.58. Sympathetic paresis (Horner?s syndrome). A 42-year-old woman presented with a droopy right upper eyelid and right-sided headache. A: The right upper lid is ptotic, and the lower lid is higher than the left.Credit: From Tasman W, Jaeger E. The Wills Eye Hospital Atlas of Clinical Ophthalmology, 2e. Lippincott Williams & Wilkins, 2001
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