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         Horner Syndrome:     more detail
  1. Horner's Syndrome - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References by ICON Health Publications, 2004-10-08
  2. Horner's syndrome following thoracic epidural analgesia in children: A [A short communication from: Acute Pain by T. Valois, M. Ranger, et all 2006-06
  3. Gale Encyclopedia of Cancer: Horner's syndrome by C.N.S., M.S.N. Linda K. Bennington, 2002-01-01
  4. HORNER AND THE SYNDROME OF PARALYSIS OF THE CERVICAL SYMPATHETIC (REPRINT FROM THE ARCHIVES OF SURGERY APRIL, 1929, VOL 18, PP 2025-2039) by MD J F FULTON, 1929
  5. Pharmacologic reversal of Horner's syndrome-related ptosis with apraclonidine.(FACIAL PLASTIC SURGERY CLINIC): An article from: Ear, Nose and Throat Journal by Eugene A. Chu, Patrick J. Byrne, 2007-05-01
  6. Horner's syndrome: An entry from Thomson Gale's <i>Gale Encyclopedia of Cancer, 2nd ed.</i> by Linda, C.N.S., M.S.N. Bennington, Teresa Odle, 2006
  7. Superior pulmonary sulcus tumor. Tumor characterized by pain, Horner's syndrome, destruction of bone and atrophy of hand muscles. In: The Journal of the American Medical Association, Vol. 99, No. 17, October 22, 1932. by Henry Khunrath (1875-1939). PANCOAST, 1932-01-01
  8. Ministry Syndrome: Tragedy and Scandal of the Gulf Illness by Andrew Horner,
  9. Vasomotor and reflex sequelae of unilateral cervical and lumbar ramisectomy in a case of Raynaud's disease: With observations on tonus by John F Fulton, 1928

41. Health Ency.: Disease: Horner's Syndrome
horner's syndrome. Causes and Risks. There are many potential causesof horner's syndrome. Any interruption of the sympathetic nerve
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Ency. home Disease H Horner's syndrome Overview Symptoms Treatment Prevention Definition: A condition which includes a constricted pupil, drooping eyelid ptosis ), and facial dryness resulting from an injury to the sympathetic nerves of the face. Causes and Risks There are many potential causes of Horner's syndrome. Any interruption of the sympathetic nerve fibers which start in the hypothalamus (a central brain region) and run via the upper spinal cord near the carotid artery and to the face may lead to Horner's syndrome. Such injuries can result from a stroke in the brainstem, injury to the carotid artery, a tumour in the upper lobe of the lung and cluster headaches. Rarely, Horner's syndrome may be congenital (present at birth) and associated with a lack of pigmentation of the iris. Eye drops and certain medications may also lead to this condition. Ency. home Disease H Please read this Important notice
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42. Health Ency.: Disease: Horner's Syndrome
horner's syndrome. Treatment. Treatment depends on the underlying cause.There is no specific treatment for horner's syndrome itself. Prognosis.
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Ency. home Disease H Horner's syndrome Overview Symptoms Treatment Prevention Treatment Treatment depends on the underlying cause. There is no specific treatment for Horner's syndrome itself. Prognosis Prognosis is dependent on whether treatment of the underlying cause is successful. Complications There is no direct complications of Horner's syndrome itself, but complications may be associated with the underlying disease or its treatment. Call Your Health Care Provider If: Call your healthcare provider if you have any symptoms which may be linked with Horner's syndrome. Ency. home Disease H Please read this Important notice
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43. Horner's Syndrome
Keywords Find it Here. horner's syndrome. horner's syndrome horner's syndrome.This article submitted by on 4/9/98. Email Address LAdkinssmi@aol.com.
http://www.health-nexus.com/horner's_syndrome.htm
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Horner's Syndrome
Handbook of Ocular Disease Management - Horner's Syndrome - HORNER'S SYNDROME SIGNS AND SYMPTOMS Horner's syndrome is characterized by an interruption of the oculosympathetic nerve pathway somewhere between its origin in the hypothalamus and the eye.
Horner's Syndrome - Learn about this intriguing abnormality of the eye, which can affect dogs, in particular golden retrievers, without any known cause.
Horner's Syndrome
- Horner's Syndrome. This article submitted by on 4/9/98. Email Address: LAdkinssmi@aol.com. At the age of 41 I was diagnosed with Horner's Syndrome....
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44. Sympathetic Innervation Of The Pupil And The Horner's Syndrome
Neurological Examination Pupillary Responses Previous Page NextPage Sympathetic Innervation of the Pupil and the horner's syndrome.
http://www.medinfo.ufl.edu/year2/neuro/neuroexam/v1242.html
Neurological Examination Pupillary Responses Previous Page Next Page
Sympathetic Innervation of the Pupil and the Horner's Syndrome
Sympathetic fibers arise in the postero-lateral hypothalamus, and synapse at the T1 spinal level, where the 2nd order neuron exits the CNS. This neuron synapses in the superior cervical ganglion, and the third order neuron accompanies the carotid artery into the head. Branches accompanying the external carotid supply the vessels and sweat glands of the face (except for a small patch of the medial forehead, which is supplied by fibers accompanying the internal carotid artery). Fibers accompanying the internal carotid join join the 3rd nerve in the cavernous sinus, and then enter the orbit. These fibers innervate the pupillary dilators, and MÅller's muscle in the eye-lid. Sympathetic lesions will result in the Horner's syndrome , consisting of meiosis (the anisocoria [unequal pupils] is most obvious in dim light), ptosis , which is very mild (unlike ptosis from IIIrd nerve lesions, which is often complete), and anhidrosis (lack of sweating on half of the face). Anhidrosis may be confined to the medial forehead with lesions at the level of the internal carotid artery or cavernous sinus.

45. Pupillary Responses
Sympathetic innervation and the horner's syndrome. Anatomy dilate. Thepupil on the side of the horner's syndrome will not dilate as much.
http://www.medinfo.ufl.edu/year2/neuro/neuroexam/pupils.html
Home page
Pupillary responses
The pupils are under the control of parasympathetic (CN III) and sympathetic fibers. The activity in these nerves is dictated by the level of illumination (CN II), changes between far and near fixation (CN II), and by non-visual input into the autonomic system.
Pupillary light reflex
Increases in light falling on the retina result in pupillary constriction. Shining a light in one eye will result in constriction of both pupils equally: the constriction of the ipsilateral pupil is called the direct response, and the constriction of the contralateral pupil, the consensual response.
Afferent limb
  • Anatomy: Light falls on the retina, is transformed into nerve impulses, which travel through the optic nerve, chiasm, and the optic tracts. Fibers leave the optic tracts to enter the midbrain, where, after synapsing in the pre-tectal nuclei, they terminate in the Edinger-Westphal nucleus.
  • Exam: relative afferent pupillary defect : relative because it is relative to the other eye (if there were equal bilateral lesions, you would not see it); and afferent, because it indicates a lesion of the afferent arc of the pupillary light reflex, namely, the optic nerve. The relative afferent pupillary defect is one of the most specific signs in medicine: it almost always indicates a lesion of the optic nerve, and it is almost never seen with lesions of the retina, vitreous, or cornea.

46. Eye Problems - Horner's Syndrome
Eye Problem Third eyelid up, horner's syndrome Haw's syndrome or third eyelidproblem horner's or Haw's syndrome Third eyelid up also see Eye problems.
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Eye Problem - Third eyelid up, Horner's Syndrome
Haw's syndrome or third eyelid problem

Horner's or Haw's Syndrome

Third eyelid up

also see Eye problems
Haw's syndrome or third eyelid problems Question: Hi Dr. Mike, I searched your site for third eye problems and I am interested in Haw's syndrome. I have a cat that seems healthy in all ways except that for the past several days he has had both his third eyes one third the way up. He jumps and plays, eats great, and there is no discharge or obvious irritation to the eyes and no light sensitivity. I am just wondering if there are any infections or treatable causes that would only have this symptom. Haw's seems the likey cause, but there is no treatment except tincture of time I understand. What causes the Sympathetic nerve irritation? The other two cats (they are all close and sleep together) are unaffected. I must find a new Vet in my area since my own closed her practice recently. I am just wondering if I need to find a new Vet fast or do some watchful waiting. I found a site belonging to http://www.eyevet.ca/ a Vet ophthamologist, but not much else on Haw's.

47. Horner's Syndrome
on the upper chest wall. The diagnosis is bilateral horner's syndromesecondary to bilateral sympathetomy for Raynaud's disease.
http://www.mrcophth.com/pd/hsra.html
Neuro-ophthalmology: Case nine
Figure 1
Figure 2
This 75 year-old woman had had this facial appearance following treatment for Raynaud's disease 15 years ago. a. What do the pictures show and what is the diagnosis?
Figure 1 shows bilateral ptosis and figure 2 shows bilateral sympathetomy scars on the upper chest wall.
The diagnosis is bilateral Horner's syndrome secondary to bilateral sympathetomy for Raynaud's disease. Raynaud's disease is Raynaud's phenomenon in the absence of underlying disease. It consists of spasm of the arteries precipitated by cold and relieved by heat. There is an initial skin pallor resulting from vasoconstriction which is followed by cyanosis caused by slow blood flow. Redness eventually occurs owing to hyperaemia. The symptoms consist of pain and numbness especially during the re-warming period.
b. How would you manage the ocular problems? The best corrective procedure for mild ptosis as in Horner's syndrome would be Fasanella Servat procedure in which some of the upper tarsal plate is excised.
c. What treatment is now used for Raynaud's disease?

48. Horner
horner's syndrome. The patient has a slight is an outdated treatment).Questions 1. What is the cause enophthalmos in horner's syndrome?
http://www.mrcophth.com/ptosis/horner.html
Horner's Syndrome
The patient has a slight right ptosis with ipsilateral miosis(you may need to shield the eyes or dim the light to accentuate the anisocoria). There is an apparent right enophthalmos. Additional signs (which may be difficult to detect) are anhydrosis and vasodilation of head and neck if the lesion were pre-ganglionic. Look for the cause:
  • difference in eye colour in congenital Horner's syndrome (as in this case, the right eye is lighter than the left) neck scar as in thryoidectomy wasting of ipsilateral hand muscles due to brachial plexus lesion as in Pancoast's tumour scars below the claivcle from sympathetomy for Raynaud's disease (this is an out-dated treatment)
Questions: 1. What is the cause enophthalmos in Horner's syndrome?
answer
The patient has apparent enophthalmos due to narrowing of the palpebral fissure. This enophthalmos is not true enophthalmos and cannot be demonstrated with exophthalmometer. It is causes by the ptosis and updrawing of the lower lid as a result of paralysis of the Muller's muscle of the upper lid and the smooth muscle of the lower lid retractor.

49. Nature Publishing Group
Case report. BrownSequard syndrome associated with horner's syndromeafter a penetrating trauma at the cervicomedullary junction.
http://www.nature.com/cgi-taf/DynaPage.taf?file=/sc/journal/v38/n11/abs/3101062a

50. Horner's Syndrome
horner's syndrome horner's syndrome is a disorder of the nervous systemwhich produces symptoms in the eyes. This disorder usually
http://www.21cats.org/health/horners.html
Horner's Syndrome
Horner's Syndrome is a disorder of the nervous system which produces symptoms in the eyes. This disorder usually occurs after an injury to the sympathetic nerve leading to the eye. Such injury can be due to a trauma to the nerve, viral infection, a tumor or mass which puts pressure on the nerve, or an inflammation of the nerve. Since the nerve travels from the brain down the neck through the chest and then to the eye, trauma in the brain, chest or neck can lead to Horner's Syndrome. Due to this specific damage the eyes begin receiving abnormal nerve signals. Due to these abnormal signals one usually sees one or more of the following symptoms: excessive smallness or contraction of the pupil of the eye (miosis), two different sized pupils (the affected pupil will usually be smaller than normal), visibility of third eyelid, drooping eyelids (ptosis), or sinking of the eyeball into the orbital cavity (enophthalmos). These symptoms are usually seen in one side only, however both sides can be affected. Horner's syndrome in and of itself is not life threatening and usually will clear up on its own.

51. Horner's Syndrome Information Page Diseases Database
horner's syndrome Information Page. horner's syndrome related topics and differentials, Gohorner'ssyndrome specific sites. GoSend horner's syndrome
http://www.diseasesdatabase.com/sieve/item1.asp?glngUserChoice=6014

52. ETenet - Library
.......horner's syndrome. Definition. horner's syndrome is caused by paralysisof the cervical sympathetic nerves. (Back to Top).
http://www.etenet.com/Apps/Library/Corporate.asp?ID=450

53. Horner's Syndrome Due To Giant Cell Arteritis
Letters. horner's syndrome due to giant cell arteritis. Temporal arteritisshould be considered in an elderly patient with horner's syndrome.
http://www.szp.swets.nl/szp/journals/no202075.htm
Neuro-Ophthalmology
1998, Vol.20, No.2, pp. 75-77
© Æolus Press
Letters
Horner's syndrome due to giant cell arteritis
B. Pascual-Sedano and C. Roig Hospital de Sant Pau, Servicio de Neurología, Barcelona, Spain We present one of the few documented cases of Horner's syndrome as a manifestation of biopsy-proven giant-cell arteritis. An 84-year-old man with jaw claudication and slight elevation of ESR (erythrocyte sedimentation rate) presented ptosis and left pupil miosis. A 1% phenylephrine instillation produced dilatation of the affected pupil, suggesting postganglionic rather than preganglionic involvement. Temporal arteritis should be considered in an elderly patient with Horner's syndrome.
Keywords: Horner's syndrome , giant cell arteritis .

54. Claude-Bernard Horner (syndrome De)
Translate this page Claude-Bernard horner (syndrome de). voir également cancer du poumon,dissection de l’aorte. Ensemble de signes liés à un cancer
http://www.vulgaris-medical.com/texth/horner .html
Claude-Bernard Horner (syndrome de) voir également cancer du poumon, dissection de l’aorte Ensemble de signes liés à un cancer localisé au niveau d’un des deux sommets du poumon (qui entraîne des douleurs violentes dans l’épaule et le bras), et caractérisé par :
  • Une paralysie du muscle dilatateur (qui ouvre) de la pupilles, c’est-à-dire que lorsque le médecin met la main sur l’œil pour le cacher de la lumière, la pupille se dilate très lentement ; par contre elle se contracte très rapidement dès que le médecin a enlevé la main, c’est-à-dire que la lumière est entrée dans l’œil.
  • Le rétrécissement de l’espace entre les deux paupières, qui traduit une paralysie d’un muscle servant à relever la paupière (le muscle orbitaire lisse de Müller).
  • Une énophtalmie, c’est-à-dire que l’œil est positionné normalement dans l’orbite mais plus profondément qu’il ne l’est normalement.
  • Une vasodilatation, c’est-à-dire que l’injection d’un produit l’on appelle la pilocarpine ne provoque pas une sudation ( anidrose) au niveau du cou et de la face du coté où siège la lésion.
  • Le syndrome de Claude Bernard-Horner résulte de l’envahissement par les cellules cancéreuses de la région provenant de l’apex pulmonaire (sommet des poumons), atteignant la racine du VIIIe nerf cervical et des deux premiers nerfs thoraciques.

    55. Claude-Bernard Horner (syndrome De)
    Translate this page Claude-Bernard horner (syndrome de). voir également cancer du poumon,dissection de l'aorte. Ensemble de signes liés à un cancer
    http://www.vulgaris-medical.com/textc/clauhorn.html
    Claude-Bernard Horner (syndrome de) voir également cancer du poumon, dissection de l'aorte Ensemble de signes liés à un cancer localisé au niveau d'un des deux sommets du poumon (qui entraîne des douleurs violentes dans l'épaule et le bras), et caractérisé par :
    • Une paralysie du muscle dilatateur (qui ouvre) de la pupilles, c'est-à-dire que lorsque le médecin met la main sur l'œil pour le cacher de la lumière, la pupille se dilate très lentement ; par contre elle se contracte très rapidement dès que le médecin a enlevé la main, c'est-à-dire que la lumière est entrée dans l'œil. Le rétrécissement de l'espace entre les deux paupières, qui traduit une paralysie d'un muscle servant à relever la paupière (le muscle orbitaire lisse de Müller). Une énophtalmie, c'est-à-dire que l'œil est positionné normalement dans l'orbite mais plus profondément qu'il ne l'est normalement. Une vasodilatation, c'est-à-dire que l'injection d'un produit l'on appelle la pilocarpine ne provoque pas une sudation ( anidrose) au niveau du cou et de la face du coté où siège la lésion.
    Le syndrome de Claude Bernard-Horner résulte de l'envahissement par les cellules cancéreuses de la région provenant de l'apex pulmonaire (sommet des poumons), atteignant la racine du VIIIe nerf cervical et des deux premiers nerfs thoraciques.

    56. Horner's Syndrome Article At The Pet Professor
    Cat Abscesses, cat health problems, horner's syndrome in Cats. horner'ssyndrome. horner's syndrome is a disorder of the nervous system
    http://www.thepetprofessor.com/cat-info/horners-syndrome.html
    Horner's Syndrome in Cats
    Kittens for sale
    Cat Breeders Cat Clip Art Cat Breed Information ... Dog Information
    Horner's Syndrome
    Horner's Syndrome is a disorder of the nervous system which produces symptoms in the eyes. This disorder usually occurs after an injury to the sympathetic nerve leading to the eye. Such injury can be due to a trauma to the nerve, viral infection, a tumor or mass which puts pressure on the nerve, or an inflammation of the nerve. Since the nerve travels from the brain down the neck through the chest and then to the eye, trauma in the brain, chest or neck can lead to Horner's Syndrome.
    Due to this specific damage the eyes begin receiving abnormal nerve signals. Due to these abnormal signals one usually sees one or more of the following symptoms: excessive smallness or contraction of the pupil of the eye (miosis), two different sized pupils (the affected pupil will usually be smaller than normal), visibility of third eyelid, drooping eyelids (ptosis), or sinking of the eyeball into the orbital cavity (enophthalmos). These symptoms are usually seen in one side only, however both sides can be affected.

    57. Horner's Syndrome
    WHAT IS horner'S syndrome? horner's syndrome consists of five signs ConstrictedPupil. Elevation of the Third Eyelid. Retraction of the eyeball into the head.
    http://www.seattleveterinaryassociates.com/horner's.htm
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    A "syndrome" is a collection of symptoms that have meaning when they go together. It is important to realize that having a syndrome is not the same as having a diagnosis. A syndrome, however, often has a limited number of causes such that recognizing a specific syndrome brings one substantially closer to a specific diagnosis.
    WHAT IS HORNER'S SYNDROME? Horner's syndrome consists of five signs: Constricted Pupil
    Elevation of the Third Eyelid
    Retraction of the eyeball into the head
    Slight drooping of the Eyelid
    Increased pink color and warmth of the ear and nose on the affected side (very hard to detect in small animals) All these signs are caused by damage to sympathetic nervous system as it supplies the eye on the affected side of the head. WHAT IS THE SYMPATHETIC NERVOUS SYSTEM? Our bodies have numerous functions that are controlled by our nervous systems yet we are completely unaware of them. Our heart and respiratory rates, the amount of sweat and other secretions we produce, circulation to different body areas, pupil dilation and constriction are all regulated by our nervous systems automatically and without our knowledge or control. The part of our nervous system dedicated to these automatic systems is called the "Autonomic nervous system".

    58. SLUCare
    ....... horner's syndrome. Definition. horner's syndrome is caused by paralysisof the cervical sympathetic nerves. (Back to Top).
    http://www.slucare.edu/patient/library/articles/450.shtml
    Medical Terminology Library A B C D ... P Q R S T U ... W X Y Z
    Horner's Syndrome
    Definition
    Horner's syndrome is a eye disorder that consists of enophthalmos (sinking of the eyeball into its cavity), ptosis (droopy upper eyelid), swelling of the lower eyelid, miosis (abnormal contraction of the pupil), anhidrosis (absence of facial sweat) and heterochromia (difference in eye color). Horner's syndrome is caused by paralysis of the cervical sympathetic nerves. (Back to Top)
    Description
    To better understand Horner's syndrome, one needs to understand how the nervous system works. There are two major divisions within the nervous system. There is the part of the nervous system that you are aware of and have control over, and there is a part of the nervous system that is under automatic control, called the autonomic nervous system. Within the autonomic nervous system there are two divisions, the sympathetic and the parasympathetic nervous systems. The sympathetic nervous system controls many of the involuntary activities of the glands, organs and other body parts. The parasympathetic nervous system also controls the involuntary activities of the organs, glands as well as blood vessels and other tissues in the body. The eye has both sympathetic and parasympathetic function (innervation). If something were to block the sympathetic impulses into the eye, there would be an overbalance of parasympathetic supply to the eye. The result is Horner's syndrome.

    59. Horner's Syndrome - General Practice Notebook
    medical information from General Practice Notebook. horner's syndrome.horner's syndrome is a triad of features resulting from interruption
    http://www.gpnotebook.co.uk/cache/-1643773944.htm
    Horner's syndrome Horner's syndrome is a triad of features resulting from interruption of the sympathetic pathway from the hypothalamus to the orbit, as follows:
    • slight ptosis pupillary miosis:
        due to paralysis of the sympathetically innervated Muller's muscle which normally dilates the pupil
      anhydrosis over the forehead

    Click here for more information...

    60. Painful Horner's Syndrome - General Practice Notebook
    painful horner's syndrome. Raeder's syndrome consists of partial horner'ssyndrome ptosis; miosis; no anhidrosis. The aetiology is unknown.
    http://www.gpnotebook.co.uk/cache/1181417545.htm
    painful Horner's syndrome Raeder's syndrome consists of:
    • facial pain:
        similar to the tic douloureux of trigeminal neuralgia over the distribution of the ophthalmic and maxiallary divisions of the trigeminal nerve partial Horner's syndrome:
          ptosis miosis no anhidrosis
        The aetiology is unknown. Treatment consists of analgesia.
        Click here for more information...

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