Horner syndrome: Difference between revisions

Latest revision as of 06:12, 27 November 2021

Scheme showing sympathetic and parasympathetic innervation of the pupil and sites of a lesion in Horner's syndrome.

Involves lesion anywhere along the sympathetic tract:
- Central (Hypothalamus, brainstem, spinal cord)
- Preganglionic (Pulmonary apex)
- Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus)

Left-sided Horner's syndrome

CXR
CT brain
CT Angiography head and neck, MRI, or MRA if concern for carotid artery dissection

Authors:

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 ==Background==
+[[File:Horner's Syndrome and Autonomic innervation of the eye.svg|thumb|Scheme showing sympathetic and parasympathetic innervation of the pupil and sites of a lesion in Horner's syndrome.]]
 *Involves lesion anywhere along the sympathetic tract:
 **Central (Hypothalamus, brainstem, spinal cord)
 **Preganglionic (Pulmonary apex)
 **Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus)
-*Etiology
-**Adults: CVA, tumor, ICA dissection, zoster, trauma
+===Causes===
-**Peds: Neuroblastoma, lymphoma, mets
+*Adults
+**[[CVA]]
+**[[Brain tumor]], lung mass
+**[[carotid artery dissection|ICA dissection]]
+**[[Zoster]]
+**[[Trauma]]
+*Peds
+**[[neuroblastoma (peds)|Neuroblastoma]]
+**[[Lymphoma]]
+**Mets
 ==Clinical Features==
-#Ipsilateral ptosis, miosis, anhydrosis
+[[File:Miosis.jpg|thumb|Left-sided Horner's syndrome]]
-#Neck pain suggest carotid dissection
+*Ipsilateral ptosis, miosis, anhidrosis
+*[[Neck pain]] suggest [[carotid artery dissection]]
+==Differential Diagnosis==
+==Evaluation==
+*[[CXR]]
+*[[CT brain]]
+*CT Angiography head and neck, MRI, or MRA if concern for carotid artery dissection
-==Diagnosis==
+==Management==
-#CXR
-#CT Brain
-==Source==
+==See Also==
-Tintinalli
-[[Category:Neuro]]
+==References==
+<references/>
+[[Category:Neurology]]