Horner syndrome: Difference between revisions
ClaireLewis (talk | contribs) No edit summary |
|||
| (4 intermediate revisions by 4 users not shown) | |||
| Line 6: | Line 6: | ||
**Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus) | **Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus) | ||
==Clinical Features== | |||
[[File:Miosis.jpg|thumb|Left-sided Horner's syndrome]] | |||
*Ipsilateral ptosis, miosis, anhidrosis | |||
*[[Neck pain]] suggest [[carotid artery dissection]] | |||
==Differential Diagnosis== | |||
===Etiology=== | ===Etiology=== | ||
*Adults | *Adults | ||
**[[CVA]] | **[[CVA]] | ||
** | **[[Brain tumor]], lung mass | ||
**ICA dissection | **[[carotid artery dissection|ICA dissection]] | ||
**Zoster | **[[Zoster]] | ||
**Trauma | **[[Trauma]] | ||
*Peds | *Peds | ||
**Neuroblastoma | **[[neuroblastoma (peds)|Neuroblastoma]] | ||
**Lymphoma | **[[Lymphoma]] | ||
**Mets | **Mets | ||
== | ==Evaluation== | ||
*[[CXR]] | *[[CXR]] | ||
*[[CT brain]] | *[[CT brain]] | ||
| Line 34: | Line 34: | ||
==References== | ==References== | ||
<references/> | |||
[[Category: | [[Category:Neurology]] | ||
Revision as of 03:19, 3 October 2019
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)
Clinical Features
- Ipsilateral ptosis, miosis, anhidrosis
- Neck pain suggest carotid artery dissection
Differential Diagnosis
Etiology
- Adults
- CVA
- Brain tumor, lung mass
- ICA dissection
- Zoster
- Trauma
- Peds
- Neuroblastoma
- Lymphoma
- Mets