Horner syndrome: Difference between revisions
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**Preganglionic (Pulmonary apex) | **Preganglionic (Pulmonary apex) | ||
**Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus) | **Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus) | ||
*Etiology | |||
**Adults: CVA, tumor, ICA dissection, zoster, trauma | |||
**Peds: Neuroblastoma, lymphoma, mets | |||
==Clinical Features== | ==Clinical Features== | ||
#Ipsilateral ptosis, miosis, anhydrosis | #Ipsilateral ptosis, miosis, anhydrosis | ||
#Neck pain suggest carotid dissection | |||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 21:02, 29 October 2011
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)
- Etiology
- Adults: CVA, tumor, ICA dissection, zoster, trauma
- Peds: Neuroblastoma, lymphoma, mets
Clinical Features
- Ipsilateral ptosis, miosis, anhydrosis
- Neck pain suggest carotid dissection
Diagnosis
- CXR
- CT Brain
Source
Tintinalli