Horner's syndrome in the emergency department

Harpe, Keith G.; Roth, Ronald N.

doi:10.1016/0736-4679(90)90461-4

Cited by 10 publications

(11 citation statements)

References 20 publications

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“…El SH es una forma excepcional de presentación del LH 1 Para su evaluación es esencial comprender la anatomía de la vía oculosimpática 5 , identificando en qué…”

Section: Discussionunclassified

“…La valoración de pacientes con SH en el servicio de Urgencias a menudo se ve limitado por el tiempo y los recursos. Por ello, es crítico que el médico de urgencias evalúe el potencial de malignidad, infección grave o lesión intracerebral en un paciente con este cuadro neuroftalmológico 5 . caso clínico En la radiografía de tórax se observó ensanchamiento mediastínico derecho e infiltrado parenquimatoso en el lóbulo superior derecho (LSD) (Fig.…”

Section: Introductionunclassified

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Horner's Syndrome: an unusual ophthalmological presentation of Hodgkin lymphoma

Azanza

Cortaire

Ramos

2017

An Sist Sanit Navar

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c. abascal azanza, R. abárzuza cortaire, P. Plaza Ramos REsUMEn El Síndrome de Horner (SH) es un síndrome neuroló-gico que se caracteriza por la triada miosis pupilar incompleta, ptosis palpebral y anhidrosis facial debido a la lesión de la vía oculosimpática, compuesta por tres neuronas, desde el hipotálamo hasta el ojo. Identificar su causa representa un reto diagnóstico ya que, a pesar de su aparente levedad clínica, el SH puede ser la primera o única manifestación de un trastorno grave o incluso potencialmente mortal. Presentamos el caso de un paciente varón de 19 años con una historia de molestias oculares inespecíficas de dos meses de evolución. Acudió a la consulta de urgencias de Oftalmología en la que fue diagnosticado de un SH como primera manifestación clínica de linfoma de Hodgkin. aBstRactHorner's Syndrome (HS) is a neurological syndrome characterised by the triad incomplete pupillary miosis, palpebral ptosis and facial anhidrosis, due to a lesion of the oculosympathetic pathway, formed of three neurons from the hipothalamus to the eye. Identifying its cause is a diagnostic challenge since in spite of its apparent lack of clinical importance, HS can be the first or only manifestation of a serious, or even potentially mortal disorder. We present the case of a 19-year-old male patient with a history of nonspecific ocular pains of two months evolution. He attended the emergency ophthalmological clinic where he was diagnosed with an HS as the first clinical manifestation of Hodgkin lymphoma.

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“…El SH es una forma excepcional de presentación del LH 1 Para su evaluación es esencial comprender la anatomía de la vía oculosimpática 5 , identificando en qué…”

Section: Discussionunclassified

Section: Introductionunclassified

Horner's Syndrome: an unusual ophthalmological presentation of Hodgkin lymphoma

Azanza

Cortaire

Ramos

2017

An Sist Sanit Navar

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“…This caused a disconnect between the second-order and third-order neurons. The cell bodies of third-order neurons give rise to postganglionic axons that travel alongside the internal carotid artery, eventually dividing to supply the Müller muscle (eyelid retractor) and dilator pupillae muscle 1 2…”

Section: Discussionmentioning

confidence: 99%

“…The oculosympathetic neurons innervate the Müller muscle (eyelid retractor) and dilator pupillae muscle (figure 1). 1 2 The symptoms, signs and causes of Horner's syndrome therefore vary with the location of the pathology along this complex pathway.…”

Section: Introductionmentioning

confidence: 99%

Osteochondroma of the clavicle causing Horner's syndrome

2015

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A 17-year-old girl was admitted with a 1-year history of right-sided headaches and unilateral ptosis for 6 months. She was diagnosed with Horner's syndrome. Ultrasound and CT scan demonstrated an osteochondroma of the posterosuperior aspect of the medial clavicle compressing adjacent structures, including the right internal jugular vein and right common carotid artery. Cartilage sequence MRI showed an osteochondroma with a 5 mm cartilage cap. There were no suspicious features of malignancy. The patient was referred to a specialist centre for surgical resection. Osteochondroma of the clavicle presenting with Horner's syndrome is extremely rare, with only one previously reported case. In this case report, we discuss the anatomy of the oculosympathetic chain, which consists of a three neuron arc. The disruption of the neuronal arc, at any point, may result in Horner's syndrome. We also discuss the various causes of Horner's syndrome and its radiological investigation.

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“…Only 4% of all Horner syndromes is being reported to be attributed by trauma. 4 In addition, 1%Y2% of those with major trauma may be injured by carotid or vertebral arteries. 5 Carotid artery dissection is rare but more common than vertebral artery dissection.…”

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confidence: 99%

Horner Syndrome Due to Vertebral Artery Stenosis

Kim

2013

Journal of Craniofacial Surgery

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The author reports a rare case of Horner syndrome in a patient who resulted from stenosis of the vertebral artery after blunt trauma. A 31-year-old man was transferred to our department for evaluation of left medial orbital wall and nasal bone fractures. Five days ago, he was hospitalized due to multiple second to fourth rib fractures of the right chest following blunt trauma of the face, neck, and chest. Surgery was performed. Ten days later, he complained of drooping of the right eyelid. Physical examination revealed a discrete miosis and ptosis with normal levator function in the right eye. A workup for Horner syndrome was performed. Magnetic resonance angiography of the head and neck revealed a stenosis of the distal part of the right vertebral artery without the abnormality of carotid artery. He wore a cervical collar and underwent anticoagulation. However, Horner syndrome was not resolved over the next 12 months. Acute traumatic Horner syndrome may be associated with vertebral artery dissection in which the possibility of life-threatening injury can be masked.

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Horner's syndrome in the emergency department

Cited by 10 publications

References 20 publications

Horner's Syndrome: an unusual ophthalmological presentation of Hodgkin lymphoma

Horner's Syndrome: an unusual ophthalmological presentation of Hodgkin lymphoma

Osteochondroma of the clavicle causing Horner's syndrome

Horner Syndrome Due to Vertebral Artery Stenosis

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