86 results on '"síndrome de Horner"'
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2. Avulsão de plexo braquial em gato: Relato de caso
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Kayo Barreto de Almeida and Fabiano Luiz Dulce de Oliveira
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lesão cervicotoracica ,neurologia em felinos ,síndrome de horner ,Veterinary medicine ,SF600-1100 - Abstract
O objetivo do presente trabalho é relatar um caso de avulsão de plexo braquial (APB) em gato doméstico, atendido na Policlínica Veterinária Escola do Centro Universitário de Valença – UNIFAA. O plexo braquial é uma ramificação de nervos que emergem da medula espinhal e inervam o membro torácico. A avulsão neste plexo ocorre quando há esgarçamento de seus nervos, pela abdução ou tração violenta do membro anterior, causada em traumatismos que frequentemente acontecem com gatos domésticos (Felis catus). Os sinais clínicos mais evidentes são a incapacidade de estender o cotovelo, arrastar o dorso do membro no solo, dificuldade para sustentar o peso, atrofia muscular neurogênica, ausência ou diminuição do tônus muscular e de reflexos segmentares, sendo indicado o uso de colar elisabetano e a fixação de uma órtese ao redor do membro envolvido. A Síndrome de Horner é outro sinal clínico comum nas lesões do plexo braquial, devido a danos nas raízes nervosas dos segmentos medulares T2 e T3. O diagnóstico da APB é feito através do histórico do paciente, anamnese, exame físico neurológico, sinais clínicos, eletrodiagnóstico e exames complementares, sendo o maior obstáculo, descobrir a extensão e a localização exata da lesão. O tratamento pode ser conservador se houver melhora do quadro clínico após três semanas de tratamento, cirúrgico caso o animal esteja apresentando sinais de dor e automutilação, ou a neurotização por transposição e anastomose microcirúrgica. O prognóstico irá depender da localização, da extensão e do tipo de lesão. Foi atendida na Policlínica Veterinária da UNIFAA, uma gata, sem raça definida, pesando 5,2 Kg. O tutor relatou que a encontrou dentro do compartimento de motor de um automóvel. No exame físico a paciente não apresentou nenhuma resposta a dor aos testes realizados, nem a propriocepção no membro torácico direito (MTD). Feito exame neurológico, pôde-se identificar que o animal apresentava Síndrome de Horner e lesão medular entre C6-T2 por avulsão do plexo braquial. Foi instituído tratamento conservador até a melhora da deambulação e depois indicado a cirurgia de amputação alta do MTD. Conclui-se que este relato poderá contribuir para a literatura como fonte de estudo em anatomia, neurologia, técnica cirúrgica, diagnóstico e tratamento para avulsões do plexo braquial em gatos.
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- 2022
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3. Clasificación y tratamiento de náusea y vómito postoperatorio en el paciente oncológico sometido a cirugía
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Giancarlo Ferretiz López, Neftali Cárdenas Herrera, and Luis Felipe Cuéllar Guzmán
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síndrome de horner ,anestesia neuroaxial ,anestesia obstétrica ,Medicine ,Anesthesiology ,RD78.3-87.3 - Published
- 2020
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4. Síndrome de Horner durante anestesia neuroaxial en anestesia obstétrica - revisión de la literatura
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Anamaría Leguizamón Stevenson
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síndrome de horner ,anestesia neuroaxial ,anestesia obstétrica ,Medicine ,Anesthesiology ,RD78.3-87.3 - Published
- 2020
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5. Horner syndrome: tribute to Professor Horner on his 190th birthday.
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FUSTES, Otto Jesus Hernández, KAY, Cláudia Suemi Kamoi, LORENZONI, Paulo José, DUCCI, Renata Dal-Prá, WERNECK, Lineu Cesar, and SCOLA, Rosana Herminia
- Abstract
Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2021
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6. Síndrome de Horner secundario a adenocarcinoma primario de timo: reporte de caso
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Magda Gil and Denis Anaya
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Síndrome de Horner ,Timo ,Mediastino ,Medicine (General) ,R5-920 - Abstract
Objetivo: Describir el caso de un paciente con síndrome de Horner de causa inusual: adenocarcinoma primario de timo, quien acudió al servicio de consulta externa de oftalmología del Hospital de San José. Diseño del estudio: Reporte de caso. Métodos: Se realizó una revisión de la literatura sobre el síndrome de Horner, con énfasis en las causas asociadas a lesiones mediastinales y específicamente los carcinomas de timo, dada su baja incidencia y rara presentación. Presentación del caso: Mujer de 41 años con cefalea hemicraneana derecha de 6 meses de evolución irradiada a cuello y miembro superior derecho, parestesias y anhidrosis en región facial derecha, ptosis de párpado superior derecho y miosis pupilar derecha. Con evidencia de síndrome de Horner y los estudios imagenológicos se diagnosticó un tumor del timo clasificado como adenocarcinoma. Se realizó escisión quirúrgica de la lesión, complementada con tratamiento oncológico. Conclusión: Una causa rara de síndrome de Horner preganglionar es la compresión de la vía simpática por neoplasias mediastinales como el adenocarcinoma de timo, uno de los tumores menos frecuentes que comprometen timo y mediastino.
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- 2017
7. Tumor maligno da bainha perineural retrobulbar e intracraniano em cão: relato de caso.
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Bordini, C. G. G., Silva, E. O., Green, K. T., Souza, M. S. B., Santis, G. W., and Zanutto, M. S.
- Abstract
Copyright of Arquivo Brasileiro de Medicina Veterinaria e Zootecnia is the property of Universidade Federal de Minas Gerais, Escola de Veterinaria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
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8. Síndrome de Horner como manifestação neurológica isolada de primo-infeção por Vírus da Imunodeficiência Humana.
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Cabo, J., Póvoas, D., Cardoso, S., Garrido, N., and Maltez, F.
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Copyright of RPDI - Revista Portuguesa de Doenças Infecciosas is the property of Sociedade Portuguesa de Doencas Infecciosas e Microbiologia Clinica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
9. Clasificación y tratamiento de náusea y vómito postoperatorio en el paciente oncológico sometido a cirugía
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Luis Felipe Cuéllar Guzmán, Neftali Cárdenas Herrera, and Giancarlo Ferretiz López
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lcsh:RD78.3-87.3 ,Anesthesiology and Pain Medicine ,lcsh:Anesthesiology ,síndrome de horner ,lcsh:R ,lcsh:Medicine ,anestesia neuroaxial ,anestesia obstétrica - Published
- 2020
10. Horner syndrome during neuraxial anesthesia in obstetric anesthesia - literature review
- Author
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Anamaria Leguizamon
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Anestesia neuroaxial ,Neuraxial anesthesia ,lcsh:R ,lcsh:Medicine ,Síndrome de Horner ,anestesia neuroaxial ,Obstetric anesthesia ,lcsh:RD78.3-87.3 ,Anesthesiology and Pain Medicine ,Anestesia obstétrica ,lcsh:Anesthesiology ,síndrome de horner ,Horner syndrome ,anestesia obstétrica - Abstract
Antecedentes: El bloqueo neuroaxial obstétrico se emplea frecuentemente durante el trabajo de parto; sin embargo, como en todo procedimiento se han reportado complicaciones, dentro de las cuales se encuentra el síndrome de Horner. Objetivo: Caracterizar la incidencia, fisiopatología y manejo del síndrome de Horner durante la anestesia neuroaxial. Métodos: Se realizó una revisión de literatura mediante la búsqueda de artículos relacionados con el tema en PubMed y Web of Science. Resultados: La incidencia del síndrome de Horner tras bloqueo neuroaxial es muy variable siendo mayor en casos de cesárea que durante trabajo de parto (4% vs 0,4%-1,3%). Factores que promueven el esparcimiento cefálico del anestésico, la sensibilidad neuronal incrementada, los cambios fisiológicos y anatómicos inducidos por el embarazo, y en algunos casos el mal posicionamiento del catéter, explicarían esta asociación. La mayoría de veces se trata de un fenómeno benigno el cual se resuelve espontáneamente en menos de 4 horas; no obstante, se debe monitorizar la aparición de inestabilidad hemodinámica o sintomatología atípica que obliguen a ampliar los estudios diagnósticos y/o interrumpir el anestésico. Background: Obstetric neuraxial block is often used during labor; however, as in all medical procedures, complications have been reported, among which is Horner’s syndrome. Objective: Characterize the incidence, pathophysiology and management of Horner’s syndrome during neuraxial anesthesia. Methods: A review of literature was conducted by searching articles related to the subject in PubMed and Web of Science. Results: The incidence of Horner’s syndrome after neuraxial block is very variable being higher in cases of cesarean section than during labor (4% vs 0.4%-1.3%). Factors that promote cephalic spread of the anesthetic, increased neuronal sensitivity, physiological and anatomical changes induced by pregnancy, and in some cases poor positioning of the catheter, explain this association. Most of the time it is a benign phenomenon which resolves spontaneously in less than 4 hours; nevertheless, the onset of hemodynamic instability or atypical symptoms must be monitored, which obliges to expand the diagnostic studies and/or interrupt the anesthetic.
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- 2020
11. Avaliação de pacientes pediátricos apresentando blefaroptose transitória unilateral de início agudo
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Serkan Kirik, Furkan Kirik, Nursel Yurttutan, Olcay Gungor, Can Acipayam, and KIRIK, FURKAN
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Male ,PTOSIS ,Craniocerebral trauma ,Blefaroptose ,CHILDREN ,Criança ,Sağlık Bilimleri ,Göz Hastalıkları ve Cerrahisi ,Clinical Medicine (MED) ,OCULOMOTOR NERVE PALSY ,Neuroblastoma ,Oftalmoloji ,Eye Diseases and Surgery ,Surgery Medicine Sciences ,Health Sciences ,OPHTHALMOLOGY ,Humans ,Blepharoptosis ,Klinik Tıp (MED) ,Child ,Retrospective Studies ,Miller Fisher syndrome ,Pseudotumor Cerebri ,Infectious disease ,Klinik Tıp ,GÖZ HASTALIKLARI ,Síndrome de Miller Fisher ,Síndrome de Horner ,General Medicine ,CLINICAL MEDICINE ,RE1-994 ,Tıp ,Optometri ,ETIOLOGY ,Ophthalmology ,Child, Preschool ,Trauma craniocerebral ,Cerrahi Tıp Bilimleri ,Medicine ,Horner syndrome ,Female ,Optometry - Abstract
Purpose: To evaluate the clinical features of pediatric patients with acute-onset, unilateral transient acquired blepharoptosis. Methods: In this retrospective study, the clinical records of patients between April 2015 and June 2020 were reviewed for evaluation of demographic features, accompanying neurological and ophthalmologic manifestations, symptom duration, etiological cause, and imaging findings. Patients with congenital and acquired blepharoptosis with chronic etiologies were excluded. Results: Sixteen pediatric patients (10 boys and 6 girls) with acquired acute-onset unilateral transient blepharoptosis were included in this study. The patients’ mean age was 6.93 ± 3.16 years. The most commonly identified etiological cause was trauma in 7 patients (43.75%) and infection (para-infection) in 5 patients (31.25%). In addition, Miller Fisher syndrome, Horner syndrome secondary to neuroblastoma, acquired Brown’s syndrome, and pseudotumor cerebri were identified as etiological causes in one patient each. Additional ocular findings accompanied blepharoptosis in 7 patients (58.33%). Blepharoptosis spontaneously resolved, without treatment, in all the patients, except those with Miller Fisher syndrome, neuroblastoma, and pseudotumor cerebri. None of the patients required surgical treatment and had ocular morbidities such as amblyopia. Conclusion: This study demonstrated that acute-onset unilateral transient blepharoptosis, which is rare in childhood, may regress without the need for surgical treatment in the pediatric population. However, serious pathologies that require treatment may present with blepharoptosis. RESUMO Objetivo: Avaliar as características clínicas de pacientes pediátricos com blefaroptose adquirida unilateral, transitória e de início agudo. Métodos: Neste estudo retrospectivo, foram revisados prontuários clínicos entre abril de 2015 e junho de 2020. Os pacientes foram avaliados em termos de características demográficas, manifestações neurológicas e oftalmológicas associadas, duração dos sintomas, etiologia e achados de imagem. Foram excluídos pacientes com blefaroptose congênita e com blefaroptose adquirida de etiologia crônica. Resultados: Foram incluídos neste estudo 16 pacientes pediátricos (10 masculinos e 6 femininos) com blefaroptose adquirida transitória unilateral de início agudo. A média de idade dos pacientes foi de 6,93 ± 3,16 anos. As causas etiológicas mais comumente identificadas foram trauma em 7 pacientes (43,75%) e infecção (casos parainfecciosos) em 5 pacientes (31,25%). Além disso, a síndrome de Miller-Fisher, a síndrome de Horner secundária a neuroblastoma, a síndrome de Brown adquirida e pseudotumor cerebral foram determinados como causas etiológicas em um paciente cada uma. Achados oculares adicionais estavam associados à blefaroptose em 7 pacientes (58,33%). Foi observada a resolução espontânea da blefaroptose, sem tratamento, em todos os pacientes, exceto nos pacientes com síndrome de Miller-Fisher, neuroblastoma e pseudotumor cerebral. Nenhum paciente precisou de tratamento cirúrgico. Morbidades oculares, como ambliopia, não foram encontradas em nenhum paciente. Conclusão: Este estudo demonstrou que a blefaroptose transitória unilateral de início agudo, rara na infância, pode regredir sem a necessidade de tratamento cirúrgico na população pediátrica. No entanto, também não deve ser esquecido que patologias graves que requerem tratamento podem se apresentar com blefaroptose.
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- 2022
12. Síndrome de Horner tras analgesia epidural para el parto. Informe de 3 casos.
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Rodríguez-Sánchez, Eduardo, Vadillo, Juan Manuel, Herrera-Calo, Pablo, and Marenco de la Fuente, Maria Luisa
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Epidural analgesia involves the technique of choice for pain relief of labor. Adverse neurological effects have been reported, one of which is called Horner syndrome, its evolution is usually benign, it does not require specific management, except clinical monitoring for the probable spread of local anesthetic cephalic. Most of the existing literature cases are isolated, in our paper we present a series of 3 clinical cases and reviewed its pathogenesis and management in the obstetric patient. [ABSTRACT FROM AUTHOR]
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- 2016
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13. Horner syndrome after epidural analgesia for labor. Report on three cases.
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Rodríguez-Sánchez, Eduardo, Vadillo, Juan Manuel, Herrera-Calo, Pablo, and Marenco de la Fuente, Maria Luisa
- Abstract
Copyright of Colombian Journal of Anesthesiology is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
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14. Síndrome de Claude Bernard-Horner associada ao empiema pleural Claude Bernard-Horner syndrome resulting from pleural empyema
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Fernando Luiz Westphal, Luiz Carlos de Lima, Arteiro Queiroz Menezes, and Dirany Leite Sacramento e Silva
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Empiema pleural ,Síndrome de Horner ,Blefaroptose ,Toracotomia ,Relatos de casos ,Pleural empyema ,Horner syndrome ,Blepharoptosis ,Thoracotomy ,Case reports ,Diseases of the respiratory system ,RC705-779 - Abstract
A síndrome de Claude Bernard-Horner apresenta várias etiologias, ocorre por interrupção do estímulo nervoso em qualquer ponto do trajeto do nervo e pode ser intra ou extratorácica. É relatado um caso dessa síndrome causado por empiema pleural septado, localizado em região paravertebral, no terço superior do hemitórax direito. O paciente foi submetido à toracotomia para drenagem da cavidade pleural. A evolução foi satisfatória, com regressão do quadro infeccioso, expansão pulmonar e remissão da síndrome.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. Herein, we report a case of Claude Bernard-Horner syndrome caused by loculated pleural empyema located in the paravertebral region of the upper third of the right hemithorax. The patient was submitted to thoracotomy in order to drain the infected fluids. The end result was satisfactory, including resolution of the infection, pulmonary expansion, and remission of the syndrome.
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- 2006
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15. Síndrome de Horner e parestesia do território do nervo trigêmeo secundário a analgesia peridural para trabalho de parto.
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Ferreira, Céline, Macedo, Ana Luísa, and Almeida, Valentina
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EPIDURAL analgesia ,PARESTHESIA ,LABOR pain (Obstetrics) ,HORNER syndrome ,PREVENTION ,PATIENTS - Abstract
Resumo A analgesia peridural é hoje em dia um procedimento comum para analgesia do trabalho de parto. Embora seja considerada uma técnica segura, não está isenta de complicações. A síndrome de Horner e a parestesia do território do nervo trigêmeo são complicações raras da analgesia peridural. Relatamos um caso de uma grávida que desenvolveu a síndrome de Horner e parestesia do território do nervo trigêmeo após analgesia peridural para o alívio da dor do trabalho de parto. Currently, epidural analgesia is a common procedure for labor analgesia. Although it is considered a safe technique, it is not without complications. Horner's syndrome and paresthesia within the trigeminal nerve distribution are rare complications of epidural analgesia. We report a case of a pregnant woman who developed Horner's syndrome and paresthesia within the distribution of the trigeminal nerve following epidural analgesia for the relief of labor pain. [ABSTRACT FROM AUTHOR]
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- 2018
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16. The missed missing hole
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Fábio Henrique de Gobbi Porto, Mari-Nilva Maia da Silva, João Roberto Sala Domingues, Gislaine Cristina Lopes Machado Porto, Indran Davagnaman, and Ricardo Nitrini
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agenesia da artéria carótida ,síndrome de Horner ,hipodesenvolvimento do canal carotídeo ,tomografia computadorizada ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
At times in clinical neurology, the identification of a subtle clinical or radiological sign can lead to prompt diagnosis of a very rare or difficult case. We report on a patient who presented with untreatable headache and unilateral ptosis. Computed tomography (CT) scan of the head did not reveal any structural cause. Magnetic resonance angiogram showed absence of left internal carotid artery, which was eventually confirmed by a catheter angiography. Reviewing the case, it emerged that a feature on the initial CT scan "bone window" would have confirmed the diagnosis, had it been searched for: the underdeveloped carotid canal, which is a consequence and a marker of internal carotid artery agenesis.
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- 2012
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17. Síndrome de Horner en ictus talámico subtalámico. Revisión bibliográfica a propósito de un caso clínico
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Rodríguez Blanco, Antonio and Perla Muedra, Carlos
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32 Ciencias Médicas ,Horner syndrome ,Síndrome de Horner ,Ptosis ,Ictus - Abstract
El síndrome de Horner causa ptosis, miosis y anhidrosis como resultado de una lesión en la vía simpática a nivel de cualquiera de sus tres neuronas de un largo recorrido, siendo muy poco frecuente a nivel central. Presentamos un caso clínico y realizamos una revisión bibliográfica del síndrome de Horner central a nivel subtalámico en un paciente que padece CADASIL, una rara enfermedad hereditaria que provoca infartos subcorticales y leucoencefalopatía. Horner syndrome causes ptosis, miosis, and anhidrosis due to a long-distance injury to the sympathetic pathway at the level of any of its three neurons, being very rare at the central level. We present a clinical case and carry out a bibliographic review of central Horner syndrome at the subthalamic level in a patient suffering from CADASIL, is a rare hereditary disease that causes subcortical infarcts and leukoencephalopathy. Medicina
- Published
- 2021
18. Horner's syndrome after blunt cervical and chest trauma: case report Síndrome de Horner após trauma cérvico-torácico fechado: relato de caso
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Wellingson Silva Paiva, Robson Luis Oliveira De Amorim, Wagner Malago Tavares, Eduardo Joaquim Lopes Alho, Brasil Ping Jeng, and Eberval Gadelha Figueiredo
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síndrome de Horner ,trauma ,etiologia ,Horner syndrome ,etiology ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Horner‘s syndrome is the triad of miosis, ptosis, and anhidrosis, resulting from disruption of the sympathetic pathways. This article describes an uncommon case of Horner‘s syndrome in a 22-year-old man after blunt trauma to the neck and chest without carotid artery dissection. The patient was brought to the emergency service after motorcycle fall. Neurologic examination revealed a patient presenting the score 15 at Glasgow Coma Scale. The left eyelid was 1-2 mm lower than the right. Carotid Doppler and angiotomography were undertaken and revealed no abnormalities of the carotid artery. CT disclosed a mediastinal hematoma extending to the left apex, compressing the left sympathetic chain. The understanding of this clinical entity may help the surgeon to make a better differential diagnosis in trauma patients in whom prompt diagnosis is critical to stablish the correct treatment.A síndrome de Horner compreende a tríade de miose, ptose e anidrose, resultado de lesão em algum ponto das vias simpáticas. O referido estudo apresenta um caso da referida síndrome em um jovem de 22 anos vitima de queda de moto, com escoriações no tórax e no pescoço, sem dissecção carotídea. Ao exame neurológico, encontrava-se com 15 pontos na Escala de Coma de Glasgow, com miose à esquerda e ptose palpebral ipsilateral. Realizado Doppler de carótidas e angiotomografia dos vasos cérvico-cranianos não sendo evidenciadas anormalidades. A tomografia de tórax mostrou um hematoma no ápice pulmonar esquerdo, comprimindo a cadeia simpática ipsilateral. O conhecimento desta entidade clínica pode ajudar o cirurgião a fazer um diagnóstico diferencial adequado nos pacientes vítimas de traumas, nos quais o diagnóstico correto e eficaz pode ser fundamental para a definição da conduta a ser tomada.
- Published
- 2007
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19. Acute Horner syndrome secondary to glandular fever due to Epstein Barr virus infection.
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Schilt-Catafal MM, Manfreda-Domínguez L, Gil-Gimeno R, and Duch-Samper AM
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- Carotid Artery, Internal pathology, Female, Herpesvirus 4, Human, Humans, Middle Aged, Epstein-Barr Virus Infections complications, Epstein-Barr Virus Infections pathology, Horner Syndrome diagnosis, Horner Syndrome etiology, Horner Syndrome pathology, Infectious Mononucleosis complications, Infectious Mononucleosis pathology
- Abstract
We present a clinical situation where a 47-year old female patient consulted with left partial ptosis and miosis that started, two weeks before, with an episode of glandular fever secondary to Epstein-Barr infection. Apraclonidine 0.5% and Phenylephrine 1% drop testing was performed with results consistent with suspected left Horner Syndrome (HS), with a probable postganglionic location. Magnetic Resonance Angiography (MRA) at the moment of the acute presentation did not show any image suggesting carotid arterial dissection but showed irregular narrowing of the left internal carotid artery on its paravertebral extracranial way, consistent to enlarged intra-carotid sheath lymphoid tissue. A week later, a Doppler ultrasound was performed, showing bilateral images compatible with internal carotid arterial dissection. When Postganglionar HS is suspected, the first aetiology to rule out is a carotid arterial dissection because of its potentially fatal outcome and for being a more described entity as postganglionic HS aetiology. However, it is also evidenced that a certain diagnose is not always possible. Furthermore, we describe the enlarged internal carotid artery sheath lymphoid tissue as a possible cause of sympathetic nerve disruption causing a Postganglionar HS, although not common., (Copyright © 2021 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.)
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- 2022
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20. Defecto pupilar eferente: el secreto de sus ojos
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Ibáñez Navarro, Alberto, Colmenero Quílez, A., Arza Candia, N., Martínez Arriazu, S., Ibáñez Navarro, Alberto, Colmenero Quílez, A., Arza Candia, N., and Martínez Arriazu, S.
- Abstract
Physiological anisocoria is a medical condition where the pupils are of unequal size without triggering pathology. It is very prevalent and usually asymptomatic. Howevers when it is detected, third-pair paralysis and Horner's syndrome should be rulled out. We developed our study a case of anisocoria detected at 9 months of age in a health examination, where we ruled out these serious and some other possible causes. To do this, the doctor uses anamnesis and clinical examination, to identify associated symptoms and pupillary reactivity, assessing structures and secretions and, finally, performing an apraclonidine test. In conclusion, physiological anisocoria is benign if discovered howeres, it obliges us to rule out serious and / or concomitant ocular pathology. This is why referral to ophthalmology consultation should not be delayed., La anisocoria fisiológica es una condición médica por la que las pupilas tienen un tamaño diferente sin patología desen cadenante. Es muy prevalente, generalmente asintomática, pero al detectarse es imprescindible descartar una parálisis de tercer par y un síndrome de Horner. Lo desarrollamos a través de un caso de una anisocoria detectada a los 9 meses de edad en un examen de salud, en la que descartamos estas entidades graves y algunas otras posibles. Para ello, el médico cuenta con la anamnesis y la exploración clínica, identifica síntomas asociados y reactividad pupilar, valora estructuras y secreciones y, finalmente, realiza un test de apraclonidina. En conclusión, la anisocoria fisiológica es una entidad benigna, pero su hallazgo obliga a descartar una patología ocular grave y/o concomitante. Es por esto que su derivación a consultas de Oftalmología no debe demorarse.
- Published
- 2019
21. Síndrome de Horner secundario a schwannoma (con cambios degenerativos), de la cadena simpática cervical. Estudios clínico-patológico e inmunohistoquímico de un caso poco frecuente.
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Jorge, Diego L., Baquera-Heredia, Javier, Padilla-Longoria, Rafael, and Ortíz-Hidalgo, Carlos
- Subjects
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SYMPATHETIC nervous system , *TUMORS , *ACOUSTIC neuroma , *DISEASES in men , *NERVOUS system , *DISEASES - Abstract
Benign nerve sheath tumors originating from the sympathetic cervical chain are rare. We present a case of an ancient schwannoma affecting the inferior cervical ganglia, in a 31 year old male, clinically presenting as Horner syndrome. There are only five reported cases in the literature with this association. [ABSTRACT FROM AUTHOR]
- Published
- 2007
22. Síndrome de Horner pediátrico: Analisis de 5 casos.
- Author
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Pizarro G., María Ester, Campos L., Verónica, Irarrázaval D., Sebastián, Mesa L., Tomás, Escobar H., Raúl, and Hernández Ch., Marta
- Abstract
Copyright of Revista Chilena de Pediatría is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2006
23. Horner's syndrome and brachial paresis as a complication of lumbar sympathetic block: a case report Síndrome de Horner e paresia braquial como complicação de bloqueio simpático lombar: relato de caso
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Pa. Maranhão-Filho, M.A.O. Martins, and H.F. Lopes
- Subjects
bloqueio simpático lombar ,aracnoidite crônica adesiva ,síndrome de Horner ,lumbar sympathetic block ,chronic adhesive arachnoiditis ,Horner's syndrome ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
An unusual case of Homer's syndrome secondary to a sympathetic block in a patient with chronic adhesive arachnoiditis (CAA) is described. The patient, a 40-year-old white woman, presented with spastic paraplegia, hyperreflexia, bilateral Babinski sigh, superficial and deep sensitive hypoaesthesia at the T4 level, in addition to bladder and rectal dysfunction since she was 32. At age of 38 she complained of excessive daily sweating below the T4 level, mostly at night. A 4mL 0.5% bupivacaine lumbar sympathetic block was performed. Within 15 min aright brachial paresis and an ipsilateral Horner's syndrome were noted. Speculatively, an abnormal cephalic spread of the anaesthesic due to a putative erratic space secondary to the CAA may justify the clinical picture even using a relatively small amount of anaesthesic (4 mL).Os autores descrevem o caso de uma mulher branca de 40 anos de idade, com paraplegia espástica, hiperreflexia, sinal de Babinski bilateral, hipoestesia superficial e profunda em T4, além de incontinência fecal e urinária, desde os 32 anos decorrente de aracnoidite crônica adesiva (CAA). Aos 38 anos passou apresentar sudorese excessiva com limite superior em T4, diária, com intensificação noturna. Um bloqueio simpático lombar foi efetuado com 4mL de bupivacaina 0.5%. Quinze minutos depois a paciente apresentou monoparesia braquial direita e síndrome de Horner ipsolateral. Devido provavelmente a um espaço peridural estreito e errático, secundário à CAA, pode-se justificar o quadro clínico como secundário à ascenção cranial do anestésico, mesmo utilizado em reduzida quantidade (4mL).
- Published
- 1995
- Full Text
- View/download PDF
24. Transient Horner's syndrome after single shot paravertebral block
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Birzat Emre Gölboyu, Ayşe Nur Yeksan, Zeynep Bilgi, Murat Aksun, Erkan Çelik, Mürsel Ekinci, and Pınar Karaca Baysal
- Subjects
medicine.medical_specialty ,medicine.drug_class ,Horner syndrome ,Video assisted thoracic surgery ,lcsh:RD78.3-87.3 ,03 medical and health sciences ,0302 clinical medicine ,Paravertebral block ,030202 anesthesiology ,Anesthesiology ,medicine ,Paravertebral Block ,RD78.3-87.3 ,Cirurgia torácica videoassistida ,Anhidrosis ,Paresis ,S syndrome ,Local anesthetic ,business.industry ,Bloqueio paravertebral ,Single shot ,Horner's syndrome ,Síndrome de Horner ,General Medicine ,medicine.disease ,Surgery ,Levobupivacaine ,lcsh:Anesthesiology ,Anesthesia ,medicine.symptom ,business ,030217 neurology & neurosurgery ,medicine.drug - Abstract
Background: Thoracic paravertebral block can provide analgesia for unilateral chest surgery and is associated with a low complication rate. Horner syndrome also referred to as oculosympathetic paresis, is a classic neurologic constellation of ipsilateral blepharoptosis, pupillary miosis, and facial anhidrosis resulting from disruption of the sympathetic pathway supplying the head, eye, and neck. Case report: We present a patient with an ipsilateral transient Horner syndrome after ultrasound guided single shot of 15 mL 0.25% levobupivacaine for thoracic paravertebral block at T5–6 level. Conclusions: It should be kept in mind that even a successful ultrasound guided single shot thoracic paravertebral block can be complicated with Horner syndrome due to unpredictable distribution of the local anesthetic. Resumo: Justificativa: O bloqueio paravertebral torácico pode proporcionar analgesia para cirurgia torácica unilateral e está associado a um baixo índice de complicações. A síndrome de Horner (também denominada paralisia oculossimpática) é uma constelação neurológica clássica de blefaroptose ipsilateral, miose pupilar e anidrose facial devido a distúrbio da via simpática que fornece inervação para a cabeça, olhos e pescoço. Relato de caso: Apresentamos o caso de um paciente com síndrome de Horner transitória ipsilateral após a administração de injeção única de 15 mL de levobupivacaína a 0,25% para bloqueio paravertebral torácico ao nível de T5-6 guiado por ultrassom. Conclusões: Devemos considerar que mesmo um bloqueio paravertebral torácico bem-sucedido com a administração de injeção única e guiado por ultrassom pode ser complicado com a síndrome de Horner devido à distribuição imprevisível do anestésico local. Keywords: Horner's syndrome, Paravertebral block, Video assisted thoracic surgery, Palavras-chave: Síndrome de Horner, Bloqueio paravertebral, Cirurgia torácica videoassistida
- Published
- 2018
25. Iodo e Amido! Ptose, miose e hemianidrose.
- Author
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Ivo Julião and Mário Pires
- Subjects
Síndrome de Pancoast ,Síndrome de Horner ,Prueba de yodo-almidón ,Prueba de sudacion ,Hemianhidrosis ,Medicine ,Internal medicine ,RC31-1245 - Abstract
Apresenta-se um homem de 66 anos seguido em consulta de Ortopedia por cervicobraquialgia esquerda refratária e radiculopatiade C5 e C6. Realizou RMN que revelou lesão no ápex pulmonaresquerdo com destruição óssea adjacente, sendo internado no Serviço de Medicina para estudo dirigido com biópsia, que reveloucarcinoma epidermóide do pulmão. Apresentava ptose palpebral eanisocoria com miose esquerdas.
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- 2014
- Full Text
- View/download PDF
26. Síndrome de Horner como presentación de tuberculosis pulmonar
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Lucero, Pablo D, Gutiérrez Magaldi, Ignacio, Camporro, Fernando A, and Bertorello, Maria N
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Tuberculosis ,Síndrome de Horner ,Horner’s syndrome - Abstract
El síndrome de Horner es el resultado de un bloqueo de la inervación simpática del ojo en cualquier punto de su trayectoria. Puede tener variadas etiologías, y es una forma muy inusual de presentación de tuberculosis pulmonar. Se describe el caso de un paciente que presenta un síndrome de Horner secundario a afectación del ápex pulmonar por tuberculosis. Horner´s syndrome results from a blockage of the sympathetic innervation to the eye at any point along its trajectory. It presents various etiologies, and it is a very unusual form of presentation of pulmonary tuberculosis. We describe the case of a patient with a Horner syndrome secondary to involvement of the pulmonary apex due to tuberculosis.
- Published
- 2018
27. Complications of sympathetic chain schwannomatosis: a case report
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Mota Rojas, Xenia I., Bailón, María Martín, Cabanas Rodríguez, Eduardo, Faraldo-García, Ana, Martín Martín, Carlos, Mota Rojas, Xenia I., Bailón, María Martín, Cabanas Rodríguez, Eduardo, Faraldo-García, Ana, and Martín Martín, Carlos
- Abstract
Objective: to report a case of cervical sympathetic chain schwannomatosis. Study design: case report. Introduction: Schwannomas are benign tumors arising from the Schwann cells of the peripheral nerves. Its occurrence within the cervical sympathetic chain schwannomas is rare, and it merges within the parapharyngeal space usually as an asymptomatic and solitary mass. Case: a 42-years old female with a right parapharyngeal mass. An angio-magnetic resonance image revealed a tumor that slightly displaced of the internal carotid artery. Tumor excision was performed through a cervical approach. After surgery the patient developed a Horner’ syndrome and a First-bite syndrome, the second successfully treated with a botulinum toxin injection. Conclusion: sequelae derived from the excision of cervical sympathetic chain schwannomas include potential post-operative neural deficits as the Horner´s syndrome, and neuropathic pain as the first bite syndrome. We recommend the patient counseling about the potentials complications and sequelae of the intervention before the surgery is performed, Objetivo: Presentar un caso de schwannomatosis de la cadena simpática cervical. Diseño del estudio: caso clínico. Introducción: los schwannomas son tumores benignos derivados de las células de Schwann de los nervios periféricos, su aparición en la cadena simpática cervical es rara, surgiendo dentro del espacio parafaríngeo usualmente como una masa asintomática. Caso clínico: mujer de 42 años con una masa en espacio parafaríngeo derecho. Una angio-resonancia magnética un tumor que discretamente desplaza la arteria carótida interna. Se realiza la exéresis del tumor mediante un abordaje transcervical y tras la cirugía la paciente desarrolla un síndrome de Horner y un síndrome del primer mordisco tras la exéresis del tumor, éste último tratado eficazmente con la inyección de toxina botulínica. Conclusión: las secuelas derivadas de la exéresis de los schwannomas de la cadena simpática cervical incluyen el déficit neurológico iatrogénico, como el síndrome de Horner, además de dolor post-quirúrgico neuropático, como el síndrome del primer mordisco. Nosotros recomendamos orientar e informar a los paciente de las posibles complicaciones y secuelas de la exéresis de estos tumores previo a la realización de la cirugía
- Published
- 2018
28. Síndrome de Horner após cirurgia estereotáxica para doença de Parkinson Horner syndrome after stereotactic Parkinson's surgery
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Luiz A. Rogano, Marushcka Assis, and Manoel J. Teixeira
- Subjects
doença de Parkinson ,estereotaxia ,síndrome de Horner ,Parkinson's disease ,stereotactic procedures ,Horner's syndrome ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Apresentamos estudo de dez pacientes com doença de Parkison, que foram submetidos a procedimentos ablativos estereotáxicos percutâneos e que desenvolveram síndrome de Horner ipsilateral imediatamente após a lesão. Sete pacientes foram submetidos a palidotomia, dois a subtalamotomia (campotomia de Forel) e talamotomia e um paciente a subtalamotomia. Sete desenvolveram miose e os dez desenvolveram semiptose ipsilateral à lesão. A ocorrência da síndrome de Horner resulta possivelmente de lesão de fibras simpáticas entre o hipotálamo, campo de Forel e tálamo.We present ten patients with Parkinson's disease who underwent stereotactic ablative radiofrequency procedures. Seven patients underwent pallidotomy, two subthalamotomy and VIM, and one subthalamotomy. Seven developed miosis and all semiptosis ipsilateral immediately after the procedure. The occurrence of Horner's syndrome is probably due to the lesion of sympathetic fibers among hypothalamus, Forel's field and thalamus after the stereotactic procedure.
- Published
- 2003
- Full Text
- View/download PDF
29. Malignant neoplasm of the perineural sheath retrobulbar and intracranial in dog: case report
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Bordini,C.G.G., Silva,E.O., Green,K.T., Souza,M.S.B., Santis,G.W., and Zanutto,M.S.
- Subjects
bradicardia ,cão ,neoplasia maligna ,dog ,tumor da bainha perineural ,Horner's syndrome ,malignant neoplasm ,perineural sheath tumor ,síndrome de Horner ,bradycardia - Abstract
RESUMO Os tumores da bainha perineural são pouco frequentes em animais domésticos. Relata-se o caso de um cão, sem raça definida, de cinco anos, fêmea, com histórico de aumento de volume em região retrobulbar do globo ocular direito (GOD) havia três semanas. Ao exame clínico, constatou-se a presença de uma neoformação retrobulbar direita com deslocamento do globo ocular cranialmente. Aos exames realizados durante o internamento, não foi possível localizar a origem e a extensão da neoformação. O animal veio a óbito por parada cardiorrespiratória e foi encaminhado para a necropsia. À avaliação macroscópica, observou-se neoformação esbranquiçada fixada à base do crânio em região selar, com possível origem no terceiro (III) par de nervos cranianos, a qual se infiltrava no encéfalo na altura do hipotálamo, estendia-se caudalmente em direção ao tronco encefálico e cranialmente à órbita direita, comprimindo, assim, o GOD. Microscopicamente consistia de feixes curtos entrelaçados ou enovelados de células fusiformes com pleomorfismo discreto a moderado, alternando-se a áreas de necrose multifocalmente, compatível com tumor da bainha perineural. Ao exame imuno-histoquímico, apresentou marcação fraca para S100 e GFAP e marcação positiva para vimentina, o que indica caráter maligno. ABSTRACT Tumors of the perineural sheath are uncommon in domestic animals. We report the case of a 5-year-old female dog with a history of increased volume in the retrobulbar region of the right eye (RE) three weeks ago. The clinical examination revealed a presence of a right retrobulbar neoformation with cranial ocular globe displacement. In the examinations carried out during hospitalization, it was not possible to locate a source and an extension of the neoformation. The animal died of cardiorespiratory arrest and was referred to an autopsy. The macroscopic evaluation revealed a whitish neoformation fixated to the base of the skull in a seal region, with a possible non-III origin of cranial nerves, infiltrating non-encephalon at the height of the hypothalamus, extending caudally towards the brainstem and cranially to the orbit right, compressing RE. Microscopically it consisted of short bundles intertwined or enovelados of spindle cells with discrete to moderate pleomorphism, alternating to areas of multifocal necrosis, compatible with tumor of the perineural sheath. Immunohistochemical examination showed weak marking for S100 and GFAP and positive marking for vimentin, indicating malignancy.
- Published
- 2018
30. Horner's syndrome and paresthesia in the trigeminal nerve territory secondary to epidural analgesia for labor
- Author
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Ana Luísa Macedo, C. G. Ferreira, and Valentina Almeida
- Subjects
Peridural anesthesia ,lcsh:RD78.3-87.3 ,03 medical and health sciences ,0302 clinical medicine ,030202 anesthesiology ,Anesthesiology ,Medicine ,Labor analgesia ,RD78.3-87.3 ,Anestesia peridural ,Analgesia obstétrica ,Obstetric analgesia ,Trigeminal nerve ,S syndrome ,business.industry ,Horner's syndrome ,Síndrome de Horner ,General Medicine ,Labor pain ,lcsh:Anesthesiology ,Anesthesia ,Parestesia do território do nervo trigêmeo ,Paresthesia of the trigeminal nerve territory ,business ,030217 neurology & neurosurgery - Abstract
Currently, epidural analgesia is a common procedure for labor analgesia. Although it is considered a safe technique, it is not without complications. Horner's syndrome and paresthesia within the trigeminal nerve distribution are rare complications of epidural analgesia. We report a case of a pregnant woman who developed Horner's syndrome and paresthesia within the distribution of the trigeminal nerve following epidural analgesia for the relief of labor pain. Resumo: A analgesia peridural é hoje em dia um procedimento comum para analgesia do trabalho de parto. Embora seja considerada uma técnica segura, não está isenta de complicações. A síndrome de Horner e a parestesia do território do nervo trigêmeo são complicações raras da analgesia peridural. Relatamos um caso de uma grávida que desenvolveu a síndrome de Horner e parestesia do território do nervo trigêmeo após analgesia peridural para o alívio da dor do trabalho de parto. Keywords: Obstetric analgesia, Peridural anesthesia, Horner's syndrome, Paresthesia of the trigeminal nerve territory, Palavras-chave: Analgesia obstétrica, Anestesia peridural, Síndrome de Horner, Parestesia do território do nervo trigêmeo
- Published
- 2018
31. Síndrome de Horner secundario a anestesia epidural.
- Author
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Varela, C., Palacio, F., Reina, M. Á., López, A., and Benito-León, J.
- Subjects
ANESTHESIA complications ,SIDE effects of anesthetics ,EPIDURAL anesthesia ,LOCAL anesthetics - Abstract
Copyright of Neurologia (Grupo ARS XXI de Comunicacion, S.A.) is the property of Grupo ARS XXI de Comunicacion, S.A. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2007
32. Horner's Syndrome: A Case Report and Review of the Pathophysiology and Clinical Features.
- Author
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Walker, L. and French, S.
- Abstract
Copyright of West Indian Medical Journal is the property of West Indian Medical Journal (WIMJ) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
33. Síndrome de Horner: presentación oftalmológica inusual de linfoma de Hodgkin
- Author
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Abascal Azanza, C., Abárzuza Cortaire, R., and Plaza Ramos, P.
- Subjects
Oculosympathetic pathway ,Vía oculosimpática ,Síndrome de Horner ,Linfoma de Hodgkin ,Horner’s syndrome ,Hodgkin lymphoma - Abstract
RESUMEN El Síndrome de Horner (SH) es un síndrome neurológico que se caracteriza por la triada miosis pupilar incompleta, ptosis palpebral y anhidrosis facial debido a la lesión de la vía oculosimpática, compuesta por tres neuronas, desde el hipotálamo hasta el ojo. Identificar su causa representa un reto diagnóstico ya que, a pesar de su aparente levedad clínica, el SH puede ser la primera o única manifestación de un trastorno grave o incluso potencialmente mortal. Presentamos el caso de un paciente varón de 19 años con una historia de molestias oculares inespecíficas de dos meses de evolución. Acudió a la consulta de urgencias de Oftalmología en la que fue diagnosticado de un SH como primera manifestación clínica de linfoma de Hodgkin. Abstract Horner's Syndrome (HS) is a neurological syndrome characterised by the triad incomplete pupillary miosis, palpebral ptosis and facial anhidrosis, due to a lesion of the oculosympathetic pathway, formed of three neurons from the hipothalamus to the eye. Identifying its cause is a diagnostic challenge since in spite of its apparent lack of clinical importance, HS can be the first or only manifestation of a serious, or even potentially mortal disorder. We present the case of a 19-year-old male patient with a history of nonspecific ocular pains of two months evolution. He attended the emergency ophthalmological clinic where he was diagnosed with an HS as the first clinical manifestation of Hodgkin lymphoma.
- Published
- 2017
34. SÍNDROME DE HORNER COMO PRESENTACIÓN DE TUBERCULOSIS PULMONAR.
- Author
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LUCERO, PABLO D., GUTIÉRREZ MAGALDI, IGNACIO, GUTIÉRREZ MAGALDI, FERNANDO A., and BERTORELLO, MARIA N.
- Abstract
Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
35. Dolor en miembro superior
- Author
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Rodríguez-Coronado, Jeny and García Cano, Victor Alexander
- Subjects
Arterial Occlusive Disease ,Horner Syndrome ,Embolectomia ,Síndrome de Horner ,Embolectomy ,Isquemia arterial - Abstract
Presentamos el caso de una mujer de 25 años que consulta por dolor en miembro superior izquierdo de inicio súbito. La isquemia arterial periférica aguda es la interrupción brusca del aporte sanguíneo a una extremidad, caracterizado por la aparición de dolor intenso, palidez, frialdad cutánea, impotencia funcional, junto con ausencia de pulsos distales. Se trata de una urgencia vital que requiere tratamiento precoz de permeabilización de la arteria afectada. El diagnóstico de isquemia aguda se basa en la historia clínica y la exploración física. La gravedad del cuadro estará determinada por el grado de obstrucción, velocidad de instauración, localización y la existencia de circulación colateral. El síndrome de Horner (oculo-simpatoparesis) consiste en la clásica triada de ptosis palpebral, miosis pupilar y anhidrosis facial ipsilateral. El síndrome resulta tras la interrupción de la inervación simpática del ojo y de los anexos oculares a diferentes niveles, siendo una complicación poco frecuente de la cirugía cervical. We present the case of a 25-year-old woman with sudden onset pain in upper extremity. Acute peripheral arterial ischemia is the sudden interruption of the blood flow to an extremity, characterized by the appearance of intense pain, pallor, skin coldness, functional impairment, together with absence of distal pulses. It is a life threatening emergency that requires early treatment of revascularization of the affected artery. The diagnosis of acute ischemia is based on clinical history review and physical examination. The severity of the clinical picture will be determined by the degree of obstruction, speed of onset, location, and presence of collateral circulation. Horner syndrome (oculosympathetic paresis) is characterized by the classic triad of palpebral ptosis, pupillary miosis and ipsilateral facial anhidrosis. The syndrome results from the interruption of sympathetic innervation to the eye and adnexa at various levels. It is a rare complication of cervical surgery.
- Published
- 2017
36. Síndrome de Horner: presentación oftalmológica inusual de linfoma de Hodgkin
- Author
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Abascal Azanza,C., Abárzuza Cortaire,R., and Plaza Ramos,P.
- Subjects
Vía oculosimpática ,Síndrome de Horner ,Linfoma de Hodgkin - Abstract
RESUMEN El Síndrome de Horner (SH) es un síndrome neurológico que se caracteriza por la triada miosis pupilar incompleta, ptosis palpebral y anhidrosis facial debido a la lesión de la vía oculosimpática, compuesta por tres neuronas, desde el hipotálamo hasta el ojo. Identificar su causa representa un reto diagnóstico ya que, a pesar de su aparente levedad clínica, el SH puede ser la primera o única manifestación de un trastorno grave o incluso potencialmente mortal. Presentamos el caso de un paciente varón de 19 años con una historia de molestias oculares inespecíficas de dos meses de evolución. Acudió a la consulta de urgencias de Oftalmología en la que fue diagnosticado de un SH como primera manifestación clínica de linfoma de Hodgkin.
- Published
- 2017
37. Dolor en miembro superior
- Author
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Rodríguez-Coronado,Jeny and García Cano,Victor Alexander
- Subjects
Embolectomia ,Síndrome de Horner ,Isquemia arterial - Abstract
Presentamos el caso de una mujer de 25 años que consulta por dolor en miembro superior izquierdo de inicio súbito. La isquemia arterial periférica aguda es la interrupción brusca del aporte sanguíneo a una extremidad, caracterizado por la aparición de dolor intenso, palidez, frialdad cutánea, impotencia funcional, junto con ausencia de pulsos distales. Se trata de una urgencia vital que requiere tratamiento precoz de permeabilización de la arteria afectada. El diagnóstico de isquemia aguda se basa en la historia clínica y la exploración física. La gravedad del cuadro estará determinada por el grado de obstrucción, velocidad de instauración, localización y la existencia de circulación colateral. El síndrome de Horner (oculo-simpatoparesis) consiste en la clásica triada de ptosis palpebral, miosis pupilar y anhidrosis facial ipsilateral. El síndrome resulta tras la interrupción de la inervación simpática del ojo y de los anexos oculares a diferentes niveles, siendo una complicación poco frecuente de la cirugía cervical.
- Published
- 2017
38. The missed missing hole.
- Author
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de Gobbi Porto, Fábio Henrique, Da Silva, Mari-Niíva Maia, Sala Domingues, João Roberto, Machado Porto, Gislaine Cristina Lopes, Davagnaman, Indran, and Nitrini, Ricardo
- Abstract
Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2012
- Full Text
- View/download PDF
39. SÍNDROME DE HORNER SECUNDÁRIA À FIBROSSARCOMA SUBCUTÂNEO CERVICAL -- RELATO DE CASO.
- Author
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de Caro Martins, Bernardo, Junta Torres, Bruno Benetti, de Caro Martins, Guilherme, Alvarenga Rachid, Milene, and de Melo Gonçalves, Eliane
- Subjects
- *
CERVICAL cancer research , *CANCER in dogs - Abstract
Horner's syndrome is a set of clinical signs resulting from damage of the sympathetic pathway of the eye and adnexal. It may occur secondary to several disorders including compression of the preganglionic fibers by ventral cervical neoplasia. The aim of this report is to describe a case of a dog with adquired Horner's syndrome due to compression of the preganglionic sympathetic innervation by fibrosarcoma in the cervical area. [ABSTRACT FROM AUTHOR]
- Published
- 2012
40. Síndrome de Horner contralateral asociado a bloqueo de ganglio estrellado: reporte de caso y revisión de la literatura
- Author
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M.V. Zea Medina, A. Cadavid Puentes, and F. Bermúdez Guerrero
- Subjects
Derecho ,Adulto ,media_common.quotation_subject ,Bloqueo simpático ,Rare entity ,Síndrome de Horner ,Anatomy ,Art ,Sindrome de ,Humanos ,Anesthesiology and Pain Medicine ,medicine.anatomical_structure ,Bloqueo nervioso autónomo ,Stellate ganglion ,medicine ,Complex regional pain syndrome type II ,Stellate ganglion block ,Right upper arm ,Cartography ,media_common - Abstract
espanolSe describe un caso de sindrome de Horner contralateral luego de bloqueo de ganglio estrellado. Se trata de un varon de 56 anos con diagnostico de sindrome doloroso regional complejo tipo II en miembro superior derecho quien posterior a la aplicacion de anestesico local guiado por ecografia en proximidad al ganglio estrellado derecho presenta sindrome de Horner izquierdo. El sindrome de Horner contralateral a un bloqueo de ganglio estrellado es una entidad de ocurrencia supremamente rara, en nuestra practica se presento uno de los pocos casos reportados en la literatura, de interes para la comunidad cientifica. EnglishWe describe a case of contralateral Horner's syndrome following stellate ganglion block. A 56 years old man diagnosed with complex regional pain syndrome type II in right upper arm, who developed after the application of local anesthetic guided by ultrasound in proximity to the right stellate ganglion presented left Horner's syndrome. The contralateral Horner's syndrome following stellate ganglion block is a rare entity. In our practice occurred one of the few cases reported in the literature, which is of great interest for the medical community.
- Published
- 2014
41. HORNER'S SYNDROME AFTER BLUNT CERVICAL AND CHEST TRAUMA.
- Author
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Paiva, Wellingson Silva, De Amorim, Robson Luis Oliveira, Tavares, Wagner Malago, Alho, Eduardo Joaquim Lopes, Jeng, Brasil Ping, and Figueiredo, Eberval Gadelha
- Abstract
Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2007
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42. Horner syndrome after epidural analgesia for labor. Report on three cases
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Eduardo Rodríguez-Sánchez, Maria Luisa Marenco de la Fuente, Juan Manuel Vadillo, and Pablo Herrera-Calo
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medicine.medical_specialty ,Epidural anesthesia ,Horner syndrome ,Critical Care and Intensive Care Medicine ,Parto ,03 medical and health sciences ,0302 clinical medicine ,030202 anesthesiology ,Medicine ,Obstetric Delivery ,Delivery obstetric ,Obstetric delivery ,Gynecology ,030219 obstetrics & reproductive medicine ,business.industry ,Síndrome de Horner ,medicine.disease ,Anesthesia obstetrical ,Anesthesiology and Pain Medicine ,Anestesia obstétrica ,Anesthesia epidural ,Anestesia epidural ,Obstetrical anesthesia ,business ,Cesarean section ,Cesárea - Abstract
Epidural analgesia is assumed to be the technique of choice for the relief of pain in labor. Multiple adverse neurological effects have been reported, one of which is the so-called Horner syndrome (ptosis, myosis, anhidrosis). Its evolution is usually benign and does not require specific management, except clinical monitoring for the more than probable cephalic spread of local anesthetic. Most of the cases that exist in the literature are isolated; in our work we present a series of 3 clinical cases and review the pathogenesis and management in the obstetric patient. La analgesia epidural supone la técnica de elección para el alivio del dolor del parto. Se han descrito múltiples efectos adversos a nivel neurológico, uno de ellos es el llamado Síndrome de Horner (ptosis,miosis, anhidrosis), suele presentar evolución benigna y no requiere manejo especifico, salvo vigilancia clínica por la más que probable difusión cefálica del anestésico local. La mayor parte de los casos existentes en la literatura son aislados, en nuestro trabajo presentamos una serie de 3 casos clínico y repasamos su etiopatogenía y manejo en la paciente obstétrica.
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- 2016
43. Anisocoria cotidiana: epidemiología de la anisocoria en un centro de nivel secundario
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B. Pilo de la Fuente, Y. Fernández Miguel, A. Clement Corral, F. Gómez Sanz, J. González Martín-Moro, and R. Cobo Soriano
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Ophthalmology ,Psicofármacos ,Midriasis unilateral episódica benigna ,Pupila tónica de Adie ,Síndrome de Horner ,Anisocoria ,Migraña - Abstract
Resumen Objetivo Determinar la importancia relativa de las distintas formas de anisocoria en un centro sanitario de nivel secundario. Metodos Estudio prospectivo longitudinal, incluyendo todos los pacientes remitidos por este motivo a la consulta de Neuroftalmologia del Hospital Universitario del Henares, Madrid, Espana, desde noviembre de 2008 hasta octubre de 2011. Se estudiaron las diferencias en el diametro pupilar en condiciones de alta y baja luminosidad. Los pacientes fueron sometidos a una exploracion oftalmologica completa, y a las pruebas de apraclonidina, cocaina, pilocarpina 0,125% y pilocarpina 2% en caso de considerarse necesario. Resultados Treinta y dos casos de anisocoria fueron referidos durante estos 3 anos. No se encontro asociacion con la edad ni el sexo. Los diagnosticos fueron: pupila de Adie, 4 casos; sindrome de Horner, 5 casos; midriasis unilateral episodica benigna, 3 casos; causas locales, 4 casos; anisocoria fisiologica, 5 casos. A pesar de una completa historia clinica y exploracion, la causa de la anisocoria no se pudo determinar en 11 casos. En 4 de estos casos el paciente padecia migranas y en otros 4 consumia psicofarmacos. En 3 casos ambos factores de riesgo estaban presentes. En un caso la anisocoria fue la pista inicial que llevo al diagnostico de un paraganglioma cervical. Conclusiones La anisocoria es un signo clinico que no traduce habitualmente enfermedad grave. Con nuestros protocolos, un numero alto de los casos de anisocoria queda sin filiar. La migrana y los psicofarmacos podrian estar asociados a estas formas de anisocoria.
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- 2012
44. The missed missing hole
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Mari-Nilva Maia da Silva, Indran Davagnaman, João Roberto Sala Domingues, Ricardo Nitrini, Fábio Henrique de Gobbi Porto, and Gislaine Cristina Lopes Machado Porto
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Adult ,medicine.medical_specialty ,Horner Syndrome ,Horner syndrome ,Computed tomography ,síndrome de Horner ,hipodesenvolvimento do canal carotídeo ,lcsh:RC321-571 ,Diagnosis, Differential ,medicine ,Carotid canal ,Humans ,lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry ,Unilateral ptosis ,medicine.diagnostic_test ,business.industry ,carotid artery agenesis ,computed tomography ,Magnetic resonance imaging ,medicine.disease ,Magnetic Resonance Imaging ,Cerebral Angiography ,medicine.anatomical_structure ,Neurology ,Radiological weapon ,carotid canal underdevelopment ,Female ,Neurology (clinical) ,Radiology ,Differential diagnosis ,tomografia computadorizada ,Tomography, X-Ray Computed ,business ,agenesia da artéria carótida ,Carotid Artery, Internal ,Cerebral angiography - Abstract
At times in clinical neurology, the identification of a subtle clinical or radiological sign can lead to prompt diagnosis of a very rare or difficult case. We report on a patient who presented with untreatable headache and unilateral ptosis. Computed tomography (CT) scan of the head did not reveal any structural cause. Magnetic resonance angiogram showed absence of left internal carotid artery, which was eventually confirmed by a catheter angiography. Reviewing the case, it emerged that a feature on the initial CT scan "bone window" would have confirmed the diagnosis, had it been searched for: the underdeveloped carotid canal, which is a consequence and a marker of internal carotid artery agenesis. Em algumas circunstâncias, o reconhecimento de um sinal clínico ou radiológico sutil pode tornar simples o diagnóstico de um caso raro ou muito difícil em neurologia clínica. Relatamos o caso de uma paciente que apresentava cefaleia intratável e ptose palpebral unilateral. A tomografia computadorizada (TC) de crânio não permitiu identificar nenhuma causa estrutural. A ressonância magnética evidenciou ausência da artéria carótida interna esquerda, posteriormente confirmada por arteriografia convencional. Retrospectivamente, descobriu-se que um dado da janela óssea da primeira TC de crânio teria confirmado o diagnóstico, tivesse ele sido pesquisado: o hipodesenvolvimento do canal carotídeo, que é uma consequência e um marcador de agenesia da artéria carótida interna.
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- 2012
45. Síndrome de Horner contralateral asociado a bloqueo de ganglio estrellado: reporte de caso y revisión de la literatura
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Cadavid Puentes, A., Bermúdez Guerrero, F., and Zea Medina, M.V.
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Adult ,Sympathetic block ,Autonomic nerve block ,Bloqueo nervioso autónomo ,Adulto ,Bloqueo simpático ,Horner syndrome ,Humans ,Síndrome de Horner ,Humanos - Abstract
Se describe un caso de síndrome de Horner contralateral luego de bloqueo de ganglio estrellado. Se trata de un varón de 56 años con diagnóstico de síndrome doloroso regional complejo tipo II en miembro superior derecho quien posterior a la aplicación de anestésico local guiado por ecografía en proximidad al ganglio estrellado derecho presenta síndrome de Horner izquierdo. El síndrome de Horner contralateral a un bloqueo de ganglio estrellado es una entidad de ocurrencia supremamente rara, en nuestra práctica se presentó uno de los pocos casos reportados en la literatura, de interés para la comunidad científica. We describe a case of contralateral Horner's syndrome following stellate ganglion block. A 56 years old man diagnosed with complex regional pain syndrome type II in right upper arm, who developed after the application of local anesthetic guided by ultrasound in proximity to the right stellate ganglion presented left Horner's syndrome. The contralateral Horner's syndrome following stellate ganglion block is a rare entity. In our practice occurred one of the few cases reported in the literature, which is of great interest for the medical community.
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- 2014
46. Síndrome de Horner Pediátrica Associada à Ganglioneuroma: Relato de Caso
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Sampaio, A, Paixão, A, Martins, M, and Toscano, A
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Miose ,síndrome de Horner ,CHLC OFT ,Oftalmologia Pediátrica ,Anisocoria, miose, síndrome de Horner, ganglioneuroma, apraclonidina ,Síndrome de Horner ,Ganglioneuroma ,apraclonidina ,Anisocoria - Abstract
Os autores apresentam um caso clínico, de uma criança, 5 anos, com miose do OE, ligeira ptose ipsilateral e heterocromia da íris. A duração dos sinais oftalmológicos é desconhecida. Procedeu- se ao teste farmacológico com Apraclonidina a 0,5% e houve dilatação do OE, com reversão da ptose. No OD não houve dilatação, confirmando-se o diagnóstico de Síndrome de Horner (SH). Foram realizados RNM do crânio, região cervical e tórax, a qual revelou massa ovalada no me- diastino esquerdo. O diagnóstico anatomopatológico, realizado após biopsia guiada por TC, foi compatível com Ganglioneuroma. Apesar da maioria dos casos de SH na infância serem de etiologia congênita, ou em decorrência de traumas no parto, nem sempre é fácil perceber o aparecimento/evolução dos sinais oftalmoló- gicos. Na ausência de história de traumas obstétricos e/ou cirúrgicos, salientamos a importância da investigação imagiológica e dosagem de catecolaminas urinárias, devido à frequente associa- ção dessa síndrome com patologias neoplásicas., Revista Sociedade Portuguesa de Oftalmologia, Vol. 37 N.º 2 (2013)
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- 2013
47. Cervical Ganglioneuroma: A Case Report
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Sepúlveda A, Ilson, Spencer L, Loreto, Mucientes H, Francisco, and Casanueva L, Fernando
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ganglioneuroma ,tumor ,sindrome de Horner ,sinonasal ,MR ,Horner´s syndrome ,RNM ,TC ,CT - Abstract
Se presenta el caso clínico de un paciente, sexo femenino, 52 años de edad, que al examen clínico presentaba un aumento de volumen a nivel del ángulo mandibular derecho. Los estudios imagenológicos mostraron una extensa masa cervical paravertebral, encapsulada, de límites netos, sin evidencias de calcificaciones en el cuerpo de la lesión como tampoco compromiso del tejido óseo vecino, que se extiende desde la base de cráneo hasta la región de la cara interna del ángulo mandibular derecho. Se determinó la cirugía, como tratamiento, la cual presentó como complicaciones post operatorias, trastornos en la deglución y síndrome de Horner. Por último la biopsia post operatoria arrojó, ganglioneuroma y linfonodos sin lesiones histológicas. A case report of a patient, female, 52 years old, clinical examination showed a volume increase at the right mandibular angle. Imaging studies showed a large cervical paravertebral mass, encapsulated, net limits without evidence of calcification in the body of the lesion nor involvement of neighboring bone tissue, extending from the base of the skull to the region of the inner right mandibular angle. Surgery was determined as treatment, presenting, impaired swallowing and Horner syndrome as post-operative complications. Finally, the postoperative biopsy showed, ganglioneuroma and lymph nodes without histological lesions.
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- 2011
48. Gangiloneuroma Cervical: Reporte de un Caso
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Sepúlveda A,Ilson, Spencer L,Loreto, Mucientes H,Francisco, and Casanueva L,Fernando
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ganglioneuroma ,tumor ,sindrome de Horner ,sinonasal ,RNM ,TC - Abstract
Se presenta el caso clínico de un paciente, sexo femenino, 52 años de edad, que al examen clínico presentaba un aumento de volumen a nivel del ángulo mandibular derecho. Los estudios imagenológicos mostraron una extensa masa cervical paravertebral, encapsulada, de límites netos, sin evidencias de calcificaciones en el cuerpo de la lesión como tampoco compromiso del tejido óseo vecino, que se extiende desde la base de cráneo hasta la región de la cara interna del ángulo mandibular derecho. Se determinó la cirugía, como tratamiento, la cual presentó como complicaciones post operatorias, trastornos en la deglución y síndrome de Horner. Por último la biopsia post operatoria arrojó, ganglioneuroma y linfonodos sin lesiones histológicas.
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- 2011
49. Síndrome de Horner: uma complicação rara da cateterização da veia jugular interna numa criança
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Oliveira, C, Gomes, C, Farinha, F, and Barros, F
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Veia Jugular ,Cateterização Venosa Central ,Síndrome de Horner ,Criança - Published
- 2011
50. Síndrome de Horner tras amigdalectomía
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Díaz de Cerio Canduela, Pedro
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Tonsillectomy oculosympathetic palsy ,Horner syndrome ,Amigdalectomía ,Síndrome de Horner ,Parálisis oculosimpática ,32 Ciencias médicas ,Otorrinolaringología - Abstract
[ES]Se expone el caso de un paciente que, tras la realización de una amigdalectomía complicada por sangrado, presenta un cuadro de ptosis, miosis y enoftalmos junto con dolor ocular ipsilateral al lado del sangrado. El cuadro se circunscribe dentro del denominado síndrome de Horner y constituye una complicación poco frecuente de las amigdalectomías. [EN] There is exposed the case of a patient who, after the accomplishment of a tonsillectomy complicated for bled, presents ptosis, miosis and enoftalmos with ipsilateral ocular pain next to the bledding. The symptoms were inside Horner's syndrome called and constitutes a slightly frequent complication of tonsillectomy.
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- 2010
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