Selective mr imaging approach for evaluation of patients with horner s syndrome kathleen b. Pdf horner syndrome is an uncommon but important clinical entity, representing interruption of the sympathetic pathway to the eye and face. It is characterized by miosis, partial ptosis, apparent anhydrosis, with apparent enophthalmos. Central horners syndrome with contralateral ataxic. From the lausanne stroke registry period 1993 to spring 2002, the authors selected all patients with thalamic stroke presenting with ipsilateral hs. Harlequin sign concomitant with horner syndrome after anterior. Sindrom horner gejala, penyebab dan mengobati alodokter. Dimana ukuran normal garis tengah pupil tersebut adalah antara 4 5 mm pada penerangan sedang. Horner syndrome is a relatively rare disorder characterized by a constricted pupil miosis, drooping of the upper eyelid ptosis, absence of sweating of the face anhidrosis, and sinking of the eyeball into the bony cavity that protects the eye enophthalmos. Sindrom horner adalah sindrom langka yang merupakan gabungan dari gejalagejala dan tandatanda yang disebabkan kerusakan pada jalur jaringan saraf dari otak menuju ke wajah. It is characterized by miosis a constricted pupil, partial ptosis a weak, droopy eyelid, apparent anhydrosis decreased.
Claude bernard horner syndrome presents various etiologies and occurs as the direct result of interrupted nerve signaling at any point along the nerve trajectory, be it intrathoracic or extrathoracic. Apraclonidine caused reversal of anisocoriathe miotic pupil with horner syndrome became larger than the normal pupil in all patients in their study. Horners syndrome in dogs symptoms, causes, diagnosis. Sindrom horner adalah sekelompok gejala yang diakibatkan oleh kerusakan pada jalur saraf yang terbentang dari otak ke wajah dan memengaruhi salah satu mata. Patients with complete infarction of the posterior cerebral artery territory, with.
Unilateral horner syndrome following epidural anaesthesia. Kuasai konsep sederhananya dulu, konsep yang lain akan gampang dikuasai juga. Horner syndrome horners syndrome or oculosympathetic paresis results from an interruption of the sympathetic nerve supply to the eye and is characterized by the classic triad of miosis ie, constricted pupil, partial ptosis, and loss of hemifacial sweating ie, anhidrosis, as well as enophthalmos sinking of the eyeball into the bony cavity. Neuroimaging strategies for three types of horner syndrome. The signs and symptoms occur on the same side as it is a lesion of the sympathetic trunk. However, in an important minority of cases where the cause was not yet known, the identification of. Transient horners syndrome associated with hypertension eye. The underlying causes of horner s syndrome vary greatly and may include a tumor, stroke, injury. Horner s syndrome, the triad of miosis, ptosis, and enophthalmos, is a common complication of regional blockade of the brachial plexus, following disruption of sympathetic nerve input from the cervical sympathetic ganglia 1 a. This article discusses what causes horner s syndrome and how to diagnose the condition. Horner syndrome is a rare condition characterized by three primary symptoms. Horner syndrome and its symptoms result from damage to part of the sympathetic nervous system, which can arise from a number of causes. It occurs due to lesions affecting the sympathetic supply to the eye.
Klumpkes paralysis is a variety of partial palsy of the lower roots of the brachial plexus. To assess whether thalamic strokes presenting with a central horners syndrome hs show specific clinicoanatomic patterns. Horner s syndrome juga dikenal sebagai horner bernard syndrome atau oculosympathetic palsy. Horner s syndrome is a common neurological disorder of the eye and facial muscles and can occur suddenly. Among the other causes of horner s syndrome are head and neck surgery, trauma and puncture of the internal jugular vein. Selective mr imaging approach for evaluation of patients. This form of horner syndrome is often referred to as an incomplete horner syndrome because it consists of ptosis and miosis but not anhidrosis. Enable javascript to view the expandcollapse boxes. The nerves of the sympathetic trunk arise from the. Decreased eye pupil size is a key sign of horner syndrome. Horners syndrome genetic and rare diseases information. Horner syndrome results from an interruption of the sympathetic nerve supply to the eye and is characterized by the classic triad of miosis partial ptosis, and loss of hemifacial sweating.
As the subclavian artery passes between the anterior and middle scalene muscles, it enters this sheath and continues distally within the sheath as the axillary artery. Horner s syndrome is a rare condition characterized by miosis constriction of the pupil, ptosis drooping of the upper eyelid, and anhidrosis absence of sweating of the face. Horner s syndrome is a common condition in veterinary patients, particularly in dogs and cats, presenting with the typical features of miosis, enophthalmos, protrusion of the third eyelid and ptosis. Jika kalian menemukan permasalahan seperti berikut. Transient horner s syndrome associated with hypertension. Horner s syndrome hs is a common neurological condition seen in both cats and dogs. In a significant number of cases the cause was undetermined. Horner syndrome is a combination of signs and symptoms caused by the disruption of a nerve pathway from the brain to the face and eye on one side of the body.
To assess the usefulness of mr in the ealuation of patients with horner s syndrome. Horners syndrome is a rare condition characterized by miosis constriction of the pupil, ptosis drooping of the upper eyelid, and anhidrosis absence of sweating of the face. This report describes the onset of hoarseness and a horner s syndrome ptosis of the upper eyelid, miosis, and enophthalmos secondary to stellate ganglion block after a cervicobrachial. If you continue browsing the site, you agree to the use of cookies on this website. The finding persisted in 10 patients 4% at 6 months. Introduction the term horner syndrome is commonly used in english speaking countries, whereas the term bernard horner syndrome is common in france horner syndrome horner s syndrome results from an interruption of the sympathetic nerve supply to the eye. The term horner syndrome is commonly used in englishspeaking countries, whereas the term ber. Horner syndrome causes problems on one side of your face when the nerves there are damaged. Horners syndrome with epidural anaesthesia bmj case reports. Dysfunction of the sympathetic nerves of the eyes and surrounding facial muscles causes horner s syndrome and may be due to an injury such as a bite wound or blunt trauma, a tumor, intervertebral disc disease, or middle or inner ear disease. Typically, horner syndrome results in a decreased pupil size, a drooping eyelid and decreased sweating on the affected side of. Article abstractwe established the frequency of horner s syndrome hs in 248 elective patients after coronary artery bypass surgery.
Hoarseness and horners syndrome after interscalene. The congenital, and more rare, form of horner syndrome is present at birth but the cause is not known. It is caused by damage to the sympathetic nerves of the face. Horners syndrome, also known as oculosympathetic paresis, is a combination of symptoms that arises when a group of nerves known as the sympathetic trunk is damaged. Horner syndrome consists of unilateral ptosis, an ipsilateral miotic but normally reactive pupil, and in some cases, ipsilateral facial anhidrosis, all resulting from damage to the ipsilateral oculosympathetic pathway. The symptoms of horners syndrome in dogs are similar to those of other conditions.
Horner s syndrome, also known as oculosympathetic palsy or bernard horner syndrome, is a relatively rare condition that affects the eyes and part of the face. It describes an abnormal and unintended narrowing of the interpalpebral fissure in horner syndrome, does this abnormal narrowing involve the upper lid, the lower lid, or both. It results from lesions affecting the sympathetic supply to the head and orbit. In rare cases it has been witnessed after intercostal regional anesthesia. Horners syndrome after coronary artery bypass surgery. Both with regard to each lid, how is it malpositioned in ptosis 2ndry to horners. When certain drugs have caused for the symptoms of the condition, we need to consult our doctor and report for the unusuality. Its also called hornerbernard syndrome or oculosympathetic palsy. It can have many different symptoms, such as small pupils or droopy eyelids. Horner s syndrome, associated with epidural anaesthesia, appears to be most commonly seen in women requiring an epidural during labour or for a caesarean section.
Horners syndrome symptoms, causes, treatment, pictures. Patients were evaluated neurologically pre and postoperatively and 6 months after surgery. Horner syndrome horner s syndrome results from an interruption of the sympathetic nerve supply to the eye and is characterized by the classic triad of miosis ie, constricted pupil, partial ptosis, and loss of hemifacial sweating ie, anhidrosis. It is considered as a syndrome for it includes several or a collection of symptoms. Terjadinya perlahalahan, mulai timbul pada malam hari karena capai, sembuh keesokan harinya, kemudian menetap. Horner s syndrome, also known as oculosympathetic paresis, is a combination of symptoms that arises when a group of nerves known as the sympathetic trunk is damaged. Maythurner syndrome, also known as iliac vein compression syndrome or cocketts syndrome, affects two blood vessels that go to your legs. The disruption of sympathetic innervation to the eye gives rise to a constellation of symptoms consisting of miosis, ptosis, and. Avoid neck injury, so to avoid the hazards of acquiring horner s syndrome. Lesions of central neurons are reported infrequently while lesions of preganglionic and postganglionic neurons are described more often and appear to have a similar incidence.
Bahan ajar ii sindrom horner universitas hasanuddin. Horner syndrome what does the term ptosis mean in this context. Diagnosis of horners syndrome in dogs and cats in practice. When a cause of horner syndrome was found in both cohorts, it was usually known before horner syndrome was discovered, making horner syndrome an afterthought. Central horner syndrome can usually be identified on the basis of the presence of associated hypo thalamic, brainstem, or spinal cord signs and symptoms 1, which make it easy to localize the lesion fig. Your veterinarian may refer you to a neurologist for further diagnosing. We prospectively performed mr imaging in 33 patients with horner s. Although the presence of a horner s syndrome was irrefutable on clinical grounds. It occurs due to a disruption of the pathway of the sympathetic nerves that connect the brain stem to the eyes and face. Types of horner syndrome central horner syndrome is relatively uncommon 3.
Sindrom horner s adalah suatu sindrom yang terdiri dari kelainan berupa masuknya bola mata, ptosis kelopak mata atas, kelopak mata atas sedikit naik, kontraksi dari pupil, penyempitan dari fissura palpebra, anhidrosis dan warna kemerahan di sisi wajah yang sakit, disebabkan oleh paralisasis saraf simpatis servikal. Sindrom horner s adalah suatu sindrom yang terdiri dari kelainan berupa masuknya bola mata, ptosis kelopak mata atas, kelopak mata atas sedikit naik, kontraksi dari pupil, penyempitan dari fissura palpebra, anhidrosis dan warna kemerahan di sisi wajah yang sakit. Horners syndrome etiology and localization yazeed alwelaie pgy1 slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. It could make you more likely to have a dvt deep vein. The basic triad of horners syndrome consists of relative miosis pupillary con striction, slight ptosis narrowing of the palpebral fissure and slight enophthalmos. Horner s syndrome was frequently associated with trauma and less commonly with neoplasia. Horner s syndrome is a medical condition that is considered rare and basically affects a persons eye and face, specifically the persons nervous system. Also called oculosympathetic paresis, a horner syndrome can be produced by a lesion anywhere along the sympathetic pathway that supplies the head, eye, and neck. Suku banyak metode horner ga usah takut baru liat judulnya gan, mari kita belajar yang sederhanasederhana saja dulu. The brachial plexus is a network of spinal nerves that originates in the back of the neck, extends through the axilla armpit, and gives rise to nerves to the upper limb.
Horner syndrome is a classic neurologic syndrome whose signs include miosis, ptosis, and anhidrosis. Horner syndrome is a disorder that affects the eye and surrounding tissues on one side of the face and results from paralysis of certain nerves. Decreased sweating on the affected side of the face, drooping eyelid ptosis, sinking of the eyeball into the face, small constricted pupil the black. We aimed to present a case with unilateral horner s syndrome, which appeared in the morbidly obese parturient after lumbar epidural anaesthesia. Horners syndrome nord national organization for rare. The signs and symptoms occur on the same side ipsilateral as it is a lesion of the sympathetic trunk. Alcon, ft worth, tex could be used to diagnose horner syndrome. Kerusakan saraf ini akan berimbas dengan terjadinya kelainan pada salah satu bagian mata.