Horner syndrome: Difference between revisions

Line 1: Line 1:
==Background==
==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:
*Involves lesion anywhere along the sympathetic tract:
**Central (Hypothalamus, brainstem, spinal cord)
**Central (Hypothalamus, brainstem, spinal cord)

Revision as of 14:52, 1 June 2015

Background

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
  • Peds
    • Neuroblastoma
    • lymphoma
    • mets

Clinical Features

Left-sided Horner's syndrome
  • Ipsilateral ptosis, miosis, anhydrosis
  • Neck pain suggest carotid dissection

Differential Diagnosis

Diagnosis

Management

See Also

References