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