horners
Horner's syndrome
see also:
clinical features
- classic triad of:
- miosis (constricted pupil)
- partial ptosis
- loss of hemifacial sweating (anhidrosis)
- ie. everything gets less or smaller
aetiology
- brainstem stroke (CVA)
- lateral medullary syndrome (Wallenberg's):
- caused by occlusion of vertebral or post inf cerebellar artery
- ipsilateral:
- facial numbness
- limb ataxia
- Horner's syndrome
- pain over the eye
- contralateral:
- pin prick and temperature loss in arm and leg
- vertigo, nausea, hiccups, hoarseness, difficulty swallowing & diplopia
- carotid artery ischaemia
- lesion apex of lung eg. Pancoast tumour
- middle cranial fossa neoplasm
- lesion of the primary neuron
- lesion of the postganglionic neuron
- trauma to the brachial plexus
horners.txt · Last modified: 2015/01/05 02:03 by 127.0.0.1