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]] | ||
** | **[[Brain tumor]], lung mass | ||
**ICA dissection | **[[carotid artery dissection|ICA dissection]] | ||
**Zoster | **[[Zoster]] | ||
**Trauma | **[[Trauma]] | ||
*Peds | *Peds | ||
**Neuroblastoma | **[[neuroblastoma (peds)|Neuroblastoma]] | ||
**Lymphoma | **[[Lymphoma]] | ||
**Mets | **Mets | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:Miosis.jpg|thumb|Left-sided Horner's syndrome]] | [[File:Miosis.jpg|thumb|Left-sided Horner's syndrome]] | ||
*Ipsilateral ptosis, miosis, | *Ipsilateral ptosis, miosis, anhidrosis | ||
*Neck pain suggest carotid dissection | *[[Neck pain]] suggest [[carotid artery dissection]] | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
== | ==Evaluation== | ||
*[[CXR]] | *[[CXR]] | ||
*[[CT brain]] | *[[CT brain]] | ||
*CT Angiography head and neck, MRI, or MRA if concern for carotid artery dissection | |||
==Management== | ==Management== | ||
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==References== | ==References== | ||
<references/> | |||
[[Category: | [[Category:Neurology]] | ||
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