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
Diagnosis
- CXR
- CT Brain
Source
Tintinalli