Diferencia entre revisiones de «Horner syndrome»

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==Background==
==Background==
[[File:Horner's Syndrome and Autonomic innervation of the eye.svg|thumb|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:
*Involves lesion anywhere along the sympathetic tract:
**Central (Hypothalamus, brainstem, spinal cord)
**Central (Hypothalamus, brainstem, spinal cord)
**Preganglionic (Pulmonary apex)
**Preganglionic (Pulmonary apex)
**Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus)
**Postganglionic (Superior cervical ganglion, ICA, skull base, cavernous sinus)
*Etiology
 
**Adults: CVA, tumor, ICA dissection, zoster, trauma
===Causes===
**Peds: Neuroblastoma, lymphoma, mets
*Adults
**[[CVA]]
**[[Brain tumor]], lung mass
**[[carotid artery dissection|ICA dissection]]
**[[Zoster]]
**[[Trauma]]
*Peds
**[[neuroblastoma (peds)|Neuroblastoma]]
**[[Lymphoma]]
**Mets


==Clinical Features==
==Clinical Features==
*Ipsilateral ptosis, miosis, anhydrosis
[[File:Miosis.jpg|thumb|Left-sided Horner's syndrome]]
*Neck pain suggest carotid dissection
*Ipsilateral ptosis, miosis, anhidrosis
*[[Neck pain]] suggest [[carotid artery dissection]]


==Differential Diagnosis==
==Differential Diagnosis==


==Diagnosis==
==Evaluation==
*[[CXR]]
*[[CXR]]
*[[CT brain]]
*[[CT brain]]
*CT Angiography head and neck, MRI, or MRA if concern for carotid artery dissection


==Management==
==Management==
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==References==
==References==
 
<references/>
[[Category:Neuro]]
[[Category:Neurology]]

Revisión actual - 06:12 27 nov 2021

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)

Causes

Clinical Features

Left-sided Horner's syndrome

Differential Diagnosis

Evaluation

  • CXR
  • CT brain
  • CT Angiography head and neck, MRI, or MRA if concern for carotid artery dissection

Management

See Also

References