Horner syndrome: Difference between revisions
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*[[CXR]] | *[[CXR]] | ||
*[[CT brain]] | *[[CT brain]] | ||
*CT Angiography head and neck, MRI, or MRA if concern for carotid artery dissection | |||
==Management== | ==Management== |
Revision as of 18:38, 29 September 2021
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