Painful Postganglionic Horners Syndrome Caused by Ethmoid Sinusitis

Turner, Ira M.; Newman, Susan; Agrillo, Tiffany

doi:10.1111/j.1526-4610.2004.04151.x

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…HS secondary to sinus infection was rarely reported in the literature. We identified two cases published in English, and we compared it with the present case (Table 1) [3,4]. Nevertheless, the present case was the first to describe a subject with isolated HS after a rhinosinusitis episode.…”

Section: Discussionmentioning

confidence: 98%

“…The studies of Turner and colleagues and Käcker and colleagues presented individuals with unusual symptoms of RS or HS. In the case of Turner, the subject had a single acute supraorbital pain that lasted for at least 3 days and lacrimation was present [3]. These symptoms are commonly found in patients with cluster headache [9,10].…”

Section: Discussionmentioning

confidence: 99%

“…These symptoms are commonly found in patients with cluster headache [9,10]. Also, their patient presented anhidrosis, a clinical feature that is not found in individuals with lesion in the third neuron of the oculosympathetic pathway, which is the best physiopathological explanation for isolated HS associated with sinusitis [2,3]. Thus, their report probably described an individual with sinusitis that triggered cluster headaches associated with HS; in this way, the HS in their study was probably not directly associated with sinusitis [2,3].…”

Section: Discussionmentioning

confidence: 99%

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Isolated Horner’s Syndrome Secondary To Rhinosinusitis: A Case Report And Literature Review

Rissardo

Caprara

Silveira

et al. 2020

Egypt J Neurol Psychiatry Neurosurg

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Background Horner’s syndrome (HS) is characterized by unilateral ptosis, ipsilateral miosis with normally reactive pupil, and in some cases, ipsilateral facial anhidrosis. Case presentation We report an adult male presenting with ptosis. Neurological examination revealed ptosis and miosis in the right eye. Anhidrosis was not observed, and the patient did not complain about it. Laboratory tests were within normal limits. He had searched a general practitioner because of purulent nasal discharge, nasal obstruction, and anosmia. He was diagnosed with acute rhinosinusitis. Symptomatic treatment was started. The subject had full recovery of the nasal symptoms, but his right upper eyelid was drooping progressively. In the follow-up, after the third month, the patient was recovering from ptosis and miosis. In 1 year, the ptosis was minor with less than 1 mm and miosis was no more observed. Discussion A few cases of HS secondary to a sinus infection have been reported in the literature. To the authors’ knowledge, there are only two case reports of individuals who developed sinusitis and Horner’s syndrome. The present case is the first to present isolated HS features. Our report suggests that sinusitis should be listed as a probable cause of isolated Horner’s syndrome. Moreover, patients presenting with this presentation probably have a good prognosis.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Isolated Horner’s Syndrome Secondary To Rhinosinusitis: A Case Report And Literature Review

Rissardo

Caprara

Silveira

et al. 2020

Egypt J Neurol Psychiatry Neurosurg

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show abstract

“…50 En algunos casos la sinusitis etmoidal, por su vecindad con las estructuras oculares, puede producir dolor local, a veces con la aparición del síndrome de Horner (ptosis, miosis y anhidrosis) secundario al compromiso parasimpático producido por el proceso inflamatorio. 51…”

Section: Neur Neur Neur Neur Neuralgias Del Algias Del Algias Del Alg...unclassified

Cefaleas de localización y compromiso oculares

Bermudez

Trujillo

Mesa

et al. 2005

Iatreia

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Se revisan las cefaleas primarias más frecuentes que comprometen las estructuras oculares y vecinas al globo ocular, las variantes de la migraña y las alteraciones propias del nervio óptico que alteran la función visual y que se acompañan no solamente de síntomas dolorosos sino también de trastornos vasomotores debidos a alteraciones del sistema nervioso autónomo que suelen ser comunes en algunos procesos neurálgicos llamados ahora cefaleas con compromiso disautonómico. En este artículo se comentan los elementos epidemiológicos de las diferentes enfermedades craneales, faciales y oculares que cursan con cefalea; las diferencias clínicas entre las mismas y su presentación semiológica, al igual que algunos elementos terapéuticos. Se discuten además algunos elementos fisiopatológicos de gran utilidad en el análisis de los procesos dolorosos craneofaciales y el perfil temporal de los mismos; también se comentan algunas cefaleas secundarias que comparten con las primarias elementos que se prestan a confusión en la clínica. Finalmente, se hace un análisis de las neuralgias faciales comunes.

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Painful Postganglionic Horners Syndrome Caused by Ethmoid Sinusitis

Cited by 2 publications

References 3 publications

Isolated Horner’s Syndrome Secondary To Rhinosinusitis: A Case Report And Literature Review

Isolated Horner’s Syndrome Secondary To Rhinosinusitis: A Case Report And Literature Review

Cefaleas de localización y compromiso oculares

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