Horner syndrome

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

Differential Diagnosis

Diagnosis

Management

See Also

References