Diagnostic Value of Imaging in Horner Syndrome in Adults

Almog, Yehoshua; Gepstein, Raz; Kesler, Anat

doi:10.1097/wno.0b013e3181ce1a12

Cited by 55 publications

(27 citation statements)

References 8 publications

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“…1 Thus, despite the course of the oculosympathetic three-neuron pathway traversing several anatomical locations, clinical examination may localise the HS to one segment of the pathway in the latter group (summarised in Table 1 A painful HS is the most common ocular sign of internal carotid artery (ICA) dissection, and has been reported in up to 58% of cases of ICA dissection, 2,3 with only one case report presenting as a painless HS. 4 If a HS is associated with ipsilateral orbital, face, or neck pain of acute onset, this should be considered an ICA dissection until proven otherwise.…”

Section: Anatomical Localisation In Relation To Clinical Signsmentioning

confidence: 99%

Adult Horner’s syndrome: a combined clinical, pharmacological, and imaging algorithm

Davagnanam

Fraser

Miszkiel

et al. 2013

Eye

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The diagnosis of Horner's syndrome (HS) can be difficult, as patients rarely present with the classic triad of ptosis, miosis, and anhydrosis. Frequently, there are no associated symptoms to help determine or localise the underlying pathology. The onset of anisocoria may also be uncertain, with many cases referred after incidental discovery on routine optometric assessment. Although the textbooks discuss the use of cocaine, apraclonidine, and hydroxyamphetamine to diagnose and localise HS, in addition to reported false positive and negative results, these pharmacological agents are rarely available during acute assessment or in general ophthalmic departments. Typically, a week is required between using cocaine or apraclonidine for diagnosis and localisation of HS with hydroxyamphetamine, leaving the clinician with the decision of which investigations to request and with what urgency. Modern imaging modalities have advanced significantly and become more readily available since many of the established management algorithms were written. We thus propose a practical and safe combined clinical and radiological diagnostic protocol for HS that can be applied in most clinical settings.

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Section: Anatomical Localisation In Relation To Clinical Signsmentioning

confidence: 99%

Adult Horner’s syndrome: a combined clinical, pharmacological, and imaging algorithm

Davagnanam

Fraser

Miszkiel

et al. 2013

Eye

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“…15 Bunların da yalnızca birinde tiroid karsinomu olarak etiyoloji aydınlatılabilmiş-tir. Adamec ve ark.…”

Section: Discussionunclassified

Chronic Horner Syndrome Secondary to Carotid Artery Dissection: Case Report

Vatansever¹,

Karakiliç²,

Argin³

et al. 2017

Turkiye Klinikleri J Ophthalmol

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“…This initial approach identify the level of the lesion in 60-62% of cases (3,8). Cervical CT is a recommended imaging method when investigating HS, and except when obvious causes are suspected (e.g.…”

Section: Clinical Casementioning

confidence: 99%

Horner syndrome as a manifestation of thyroid carcinoma: a rare association

Pereira

Silva

Luiz

et al. 2013

Arq Bras Endocrinol Metab

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SUMMARYAn 82-year-old patient presented a progressively growing hard thyroid nodule, and left ptosis. Additionally, ophthalmologic evaluation revealed ipsilateral miosis, diagnostic findings of Horner syndrome. Computerized tomography revealed a 7.5-cm thyroid mass infiltrating the main neck vessels. Although clinical and imaging data were suggestive of poorly differentiated thyroid carcinoma, fine-needle aspiration led to the diagnosis of papillary carcinoma. Paliative care was proposed to the patient due to the advanced stage of the neoplasm and to significant comorbidities. Horner syndrome is an infrequent manifestation of thyroid disorders and benign etiologies are more often implied. Malignant thyroid neoplasms represent a rare cause of Horner syndrome. However, an appropriate and prompt diagnosis is paramount for timely treatment of rare thyroid malignancies. Arq Bras Endocrinol Metab. 2013;57(6):483-5 SUMÁRIOPaciente de 82 anos apresentando-se com nódulo tireoidiano de crescimento progressivo e ptose palpebral esquerda. O exame oftalmológico revelou ainda miose ipsilateral e achados diagnósticos de síndrome de Horner. A tomografia computadorizada mostrou massa tireoidiana de 7,5 cm infiltrando os grandes vasos do pescoço. Apesar dos dados clínicos e imagiológicos sugestivos de um carcinoma pouco diferenciado da tireoide, a citologia aspirativa foi diagnóstica de carcinoma papilar. Em função do estádio avançado da neoplasia e das comorbilidades significativas, foi proposta para terapêutica paliativa. A síndrome de Horner é uma manifestação clínica infrequente em tumores tireoidianos, estando as condições benignas maioritariamente implicadas. As neoplasias malignas da tireoide representam uma causa rara de síndrome de Horner. Contudo, um diagnóstico adequado e expedito é fundamental para o tratamento atempado nos raros casos de malignidade da tireoide. Arq Bras Endocrinol Metab. 2013;57(6):483-5

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Diagnostic Value of Imaging in Horner Syndrome in Adults

Cited by 55 publications

References 8 publications

Adult Horner’s syndrome: a combined clinical, pharmacological, and imaging algorithm

Adult Horner’s syndrome: a combined clinical, pharmacological, and imaging algorithm

Chronic Horner Syndrome Secondary to Carotid Artery Dissection: Case Report

Horner syndrome as a manifestation of thyroid carcinoma: a rare association

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