Horner syndrome

Background

Scheme showing sympathetic and parasympathetic innervation of the pupil and sites of a lesion in Horner's syndrome.
  • 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
  • Peds
    • Neuroblastoma
    • Lymphoma
    • Mets

Clinical Features

Left-sided Horner's syndrome
  • Ipsilateral ptosis, miosis, anhydrosis
  • Neck pain suggest carotid dissection

Differential Diagnosis

Evaluation

Management

See Also

References

Authors:

Ross Donaldson