Horner syndrome: Difference between revisions
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**Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus) | **Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus) | ||
===Causes=== | |||
== | |||
*Adults | *Adults | ||
**[[CVA]] | **[[CVA]] | ||
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**[[Lymphoma]] | **[[Lymphoma]] | ||
**Mets | **Mets | ||
==Clinical Features== | |||
[[File:Miosis.jpg|thumb|Left-sided Horner's syndrome]] | |||
*Ipsilateral ptosis, miosis, anhidrosis | |||
*[[Neck pain]] suggest [[carotid artery dissection]] | |||
==Differential Diagnosis== | |||
==Evaluation== | ==Evaluation== | ||
*[[CXR]] | *[[CXR]] | ||
*[[CT brain]] | *[[CT brain]] | ||
*CT Angiography head and neck, MRI, or MRA if concern for carotid artery dissection | |||
==Management== | ==Management== | ||
Latest revision as of 06:12, 27 November 2021
Background
- Involves lesion anywhere along the sympathetic tract:
- Central (Hypothalamus, brainstem, spinal cord)
- Preganglionic (Pulmonary apex)
- Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus)
Causes
- Adults
- CVA
- Brain tumor, lung mass
- ICA dissection
- Zoster
- Trauma
- Peds
- Neuroblastoma
- Lymphoma
- Mets
Clinical Features
- Ipsilateral ptosis, miosis, anhidrosis
- Neck pain suggest carotid artery dissection