61. Horner's Syndrome horner's syndrome. Anyways my son, Spencer who will be five this July was diagnosedwith True Congential horner's syndrome when he was a small infant. http://med-aapos.bu.edu/publicinfo/store5/HornersSyndrome3.40AM.html

Horner's Syndrome This question submitted by Tammy Nelson on 3/15/02. Previous Article Return to Main Article Next Article Previous Article Return to Topic Menu Here is a list of responses that have been posted to this article... to tammy nelson (12/17/02) Horner's Syndrome (7/14/02) horner's syndrome (5/21/02) Horner's Syndrome (3/15/02) If you would like to post a response to this article, fill out this form completely... Please limit the length of the title of the response to 18 characters. Response Title: Author: Response Text: Original Article: (Don't change this field!) Article complete. Click HERE to return to the Public Information Menu.

62. Macintosh HD:Desktop Folder:AAPOS1997:paper31.html.1 PEDIATRIC horner'S syndrome Amy R. Jeffery MD, Forrest J. Ellis MD, Micheal X.Repka MD and J. Raymond Buncic,MD Rainbow Babies and Childrens Hospital http://med-aapos.bu.edu/AAPOS1997/paper31.html

PEDIATRIC HORNER'S SYNDROME Amy R. Jeffery MD, Forrest J. Ellis MD, Micheal X. Repka MD and J. Raymond Buncic,MD Rainbow Babies and Childrens Hospital C1eveland Ohio 44106 Introduction: The etiology of Horner's Syndrome is somewhat age dependent. The purpose of this study was to determine the etiologies of Horner's Syndrome in the pediatric population. Results: Seventy-five pediatric Horner's syndrome patients were identified. In 32 patients the findings were diagnosed with congenital Horner's syndrome. In l 3 (4 l %) the findings were located on the right side and in l 9 (59%) on the left side. Of the congenital Horner's patients a history of delivery with the use of forceps, vacuum extraction, shoulder dystocia, fetal rotation or late post-term delivery was elicited in 17 patients (53%). Brachial plexus injury was identified in only three patients. Two patients had congenital varicella syndrome and one patient was diagnosed with neuroblastoma in the neonatal period. This patient had a supraclavicular mass and strider. Horner's syndrome was acquired in 43 patients. In the acquired patients the etiology included: neuroblastoma (2), trauma (l), rhabdomyosarcoma (l), cavernous hemangioma ( l ) disseminated sclerosis( l ), and undetermined (7). In 30 patients Horner's syndrome followed surgical manipulation of the thorax, neck or CNS. Conclusion: In children with congenital Horner's syndrome a history of forceful manipulation of the infant during birth usually eliminates the need for extensive evaluation. All acquired pediatric Horner's syndrome patients require thorough evaluation due to the frequent association of serious underlying disease.

63. VASCULAR SURGERY; Mr Return to Student page. SJ RHEE. horner's syndrome; SIGN or SYMPTOM. It is whenthis nerve supply to the eye is damaged that precipitates horner's syndrome. http://www.freevas.demon.co.uk/students/HORNERS syndrome.htm

Return to Student page S. J. RHEE HORNER's SYNDROME; SIGN or SYMPTOM Sign is an indication of a particular disorder that is observed by a physician but is not apparent to the patient. Symptom is an indication of a disease or a disorder noticed by the patient himself, leading the patient to consult the doctor. Horner's syndrome ( Johann Horner (1831-86), Professor of Opthalmology, Zurich, Switzerland. ) is a disorder where the sympathetic nerve supply to the eye is disturbed. The sympathetic nerve supply to the eye originates in the hypothalamus, travels down the brainstem, into the cervical cord. The nerve exits as part of the T1 root to enter the cervical sympathetic chain, where it then travels to the eye via the internal carotid artery. It is when this nerve supply to the eye is damaged that precipitates Horner's syndrome. The symptoms arising from this disorder are as follows:- Myosis : the dilator pupillae muscle has a sympathetic innervation and thus paralysis of this muscle results in constriction of the pupil. Ptosis : this is drooping of the upper eyelid. The muscles that raise the eyelid (levator palpebrae superioris) are innervated by the sympathetic branch of the third nerve. Hence, paralysis of the sympathetic fibres transmitted via the oculomotor (III) nerve results in drooping of the upper eyelid.

64. Centro Medico Teknon : Library ....... Translate this page horner's syndrome Definition horner's color). horner's syndrome is causedby paralysis of the cervical sympathetic nerves. http://www.teknon.es/Library/Library.asp?488

65. DJO Grand Rounds - Vinals Painful horner's syndrome secondary to internal carotid artery dissection.The necessary. The most common causes of horner's syndrome include http://www.djo.harvard.edu/meei/GR/Vinals011096/vinals011096Dx.html

Painful horner's syndrome secondary to internal carotid artery dissection The oculosympathetic pathway leads a complicated course from the posterior hypothalamus, through the brainstem to the spinal cord (1st order neuron), over the apex of the lung to the superior cervical ganglion (2nd order neuron), and then ascends along with the internal carotid artery (3rd order neuron, post-ganglionic) to ultimately reach the pupillary dilator muscle and Mueller's muscle of the lid. Any interruption in this pathway may produce a Horner's syndrome; therefore, a careful understanding of the anatomy is necessary. The most common causes of Horner's syndrome include: I. First Order Neuron Lesion (brainstem and spinal cord): Cerebrovascular accident (Wallenberg syndrome) Neck Trauma Neoplasm Demyelinating Disease Syringomyelia II. Second Order Neuron Lesion (preganglionic): Chest lesions: Apical lung (Pancoast Tumor, Tuberculosis) Neck lesions: Trauma, abcesses, thyroid neoplasm, lymphadenopathy Surgery: Radical neck, thyroidectomy, carotid angiography (direct carotid puncture) III. Third Order Neuron Lesion (postganglionic):

66. Horner's Syndrome horner's syndrome,, Print this article, (Johann Friedrich horner, 1831–1886,Swiss ophthalmologist), syndrome caused by disruption http://www.amershamhealth.com/medcyclopaedia/Volume VI 2/HORNERS SYNDROME.asp

Medcyclopaedia About Medcyclopaedia Amersham Health Search for: Type a word or a phrase. All forms of the word are searchable. Advanced search Browse entry words starting with: A B C D ... Other characters Try our Medcyclopaedia Premium Edition with added tools and functionality tailored to make your working day easier. The following tools are presently available: Expanded search *For Medical Professionals only, registration required Horner's syndrome, (Johann Friedrich Horner, 1831–1886, Swiss ophthalmologist), syndrome caused by disruption of the oculosympathetic pathway. The symptoms consist of ptosis of the upper eyelid, elevation of the lower eyelid (upside-down ptosis), miosis, and loss of ipsilateral sweating of the face (anhidrosis). Based on clinical testing, the lesion can be localized to either the preganglionic (first- and second-order neurons) or postganglionic (third-order) neurons. Many postganglionic lesions appear to be idiopathic; imaging findings may include internal carotid artery dissection , a cavernous sinus lesion or an orbital tumour. Preganglionic lesions most commonly involve second-order neurons. Such a lesion may be caused by dissection of the internal carotid artery; other aetiological examples are Pancoasts neoplasm , other neoplasms involving the ventral roots C7–D1, or surgical damage to the sympathetic chain after common carotid artery endarterectomy or other neck surgery. Horner's syndrome due to a lesion at the level of the first-order neurons is rarely encountered in isolation; lesions within the hypothalamus or brain stem usually produce several neurological signs.

67. Horner's Syndrome horner's syndrome,, Print this article, ipsilateral myosis, ptosis of the upper eyelidand a degree of enophthalmos. There may be facial flushing and anhidrosis. http://www.amershamhealth.com/medcyclopaedia/Volume VII/HORNERS SYNDROME.asp

Medcyclopaedia About Medcyclopaedia Amersham Health Search for: Type a word or a phrase. All forms of the word are searchable. Advanced search Browse entry words starting with: A B C D ... Other characters Try our Medcyclopaedia Premium Edition with added tools and functionality tailored to make your working day easier. The following tools are presently available: Expanded search *For Medical Professionals only, registration required Horner's syndrome, ipsilateral myosis, ptosis of the upper eyelid and a degree of enophthalmos. There may be facial flushing and anhidrosis. The causes include trauma, neoplasm and, in older patients, thrombosis and infarction. Sudden onset of Horner syndrome in childhood is a well recognized presentation of a cervical or upper thoracic chain neuroblastoma and this should always be sought in such children. See neuroblastoma HC The Encyclopaedia of Medical Imaging Volume VII Welcome to Medcyclopaedia. This site is open to a public audience, still we want to know a little more about our visitors. Please tick off the boxes that match your profile. Do you live in Europe?

68. MSN Health - horner's syndrome Important It is possible that the main title of thereport horner's syndrome is not the name you expected. Please http://content.health.msn.com/NR/internal.asp?GUID={8D952AFE-D0CC-4AF8-BEFB-7EA8

69. Horner horner'S syndrome. Pancoast tumour (T1 also involved) commonest cause. brainstemdemyelinating disease. syringomyelia (bilateral horner's syndrome). http://www.geocities.com/davidscerri/horner.htm

HORNER'S SYNDROME Pancoast tumour (T1 also involved) [commonest cause] brainstem vascular disease (lateral medullary syndrome) brainstem demyelinating disease syringomyelia (bilateral Horner's syndrome) intrinsic cervical cord disease (vascular or neoplastic) cervical lymph node metastases local (neck) neoplasia local (neck) trauma, eg. stab wound carotid or aortic aneurysm cervical sympathectomy click here to return to the main contents page of Differential Diagnoses in General Medicine

70. Horner's Syndrome horner'S syndrome Definition A clinical syndrome consisting of miosis of theeye, partial ptosis, anhydrosis on one side, enophthalmos, loss of cilio http://www.geocities.com/hotsprings/villa/6315/lessons/lists/horners.html

HORNER'S SYNDROME Definition Anatomy of ocular sympathetic supply - Starts from hypothalamus ( st neuron ) which projects to the intermedio-lateral column of cervical cord ( nd neuron Through nerve roots - fibers enter the sympathetic chain - superior cervical ganglion - rd neuron Efferent sympathetic fibers - travel along the carotid sheath upwards in the neck - enter the cranial cavity. Supply the eye through the ophthalmic division of the trigeminal nerve (V Supplies the pupil, levator palpebrae superioris, and the sweat glands of the face ( sympathetic cholinergic Lesion anywhere along this pathway can produce Horner's syndrome Causes - Lateral medullary syndrome Tumor Syrinx - this can produce bilateral Horner's Root lesions - Cervical spondylosis Disc prolapse Vertebral trauma Tumor / Abscess compressing the root. Supra-clavicular fossa - Pancoast tumor Lymph node involvement Brachial plexus lesions - commonly have associated Horner's - especially those of the superior cord e.g. Traumatic, post-irradiation, etc. Neck - Lymph node involvement Malignancies - e.g. Thyroid Ca

71. Ptosis, Anisocoria Point Toward Horner's, Lung Tumor A 65year-old black male was diagnosed with horner's syndrome, an interruptionof the oculosympathetic nerve supply. Pathophysiology of horner's syndrome. http://www.sightstreet.com/Content/OpthalmicLibrary/neu_horners_csro1020.htm

Neurologic Disorders Ptosis, Anisocoria Point Toward Horner's, Lung Tumor By S. Gurwood, OD, Christine A. Terrigno, OD, and Nhut M. Tran, OD Related Stories: Pathphysiology of Horner's Syndrome Pharmacological Diagnosis and Localization of Horner's Causes of Horner's Syndrome A 65-year-old black male was diagnosed with Horner's syndrome, an interruption of the oculosympathetic nerve supply. He also was diagnosed with a Pancoast tumor in the right lung apex. The patient underwent surgery and radiation to eradicate the tumor, but has been lost to follow-up. History and Findings The patient presented for an automated visual field. As we updated his history, he complained of pain and burning in the right eye and a right "droopy" lid that seemed to worsen over the last 6 weeks. The patient denied a history of trauma or surgery, and his general medical and ocular histories were noncontributory. Social history was remarkable for smoking 2-3 packs of cigarettes a week for 45 years. Best-corrected visual acuity was 20/25 O.U. at distance and near. External examination revealed an anisocoria (2mm OD, 3mm O.S.) that was noticeably worse in dim illumination (2.5mm OD, 4mm O.S.). There was no afferent pupillary defect. The interpalpebral fissure of the right eye measured less than that of the left (6mm OD, 11mm O.S.). Extraocular muscles, color vision and cover testing were normal.

72. Health Ency.: Disease: Horner's Syndrome horner's syndrome. Prevention. There is no specificprevention for horner's syndrome. http://www.austin360.com/shared/health/adam/ency/article/000708prv.html

SEARCH: The Web Yellow Pages HOME Illustrated Health Encyclopedia Important notice Ency. home Disease H Horner's syndrome Overview Symptoms Treatment Prevention Prevention There is no specific prevention for Horner's syndrome. Ency. home Disease H Please read this Important notice Also Check Out Home Autos Classifieds Events ... Our Sponsors By using Austin360 you accept the terms of our Visitor Agreement . Please read it. Privacy statement Registered site users: edit your profile var v=1.0; v=1.1; v=1.2;

73. Ans12-Horner's It differentiates between physiological miosis and horner's syndrome.If the miotic pupil has dilation lag, then this indicates horner's. http://www.opt.indiana.edu/students/studentprojects/cases2/ans12-Horner's.html

ANSWERS CASE 12: Q1) correct answer is #2- .125% Pilocarpine test- This test would be indicated if a light/near dissociation was present, and more anisocoria was observed in lighted room. This test is used to differentiate between Adie's tonic pupil, pharmocological dilation, and CN III palsy. If the dilated pupil constricts, then the diagnosis is likely Adie's tonic pupil. If no constriction, then it is likely pharmacological dilation or CN III palsy. incorrect answers: #1-10% cocaine test- This test is indicated due to the greater anisocoria in dim light, and no light/near dissociation. It differentiates between physiological miosis and Horner's syndrome. If the miotic pupil has dilation lag, then this indicates Horner's. If no dilation lag, then this indicates that it is physiological. A Horner's pupil dilates less well than a normal pupil. #3-OH-amphetamine- This test is indicated in Horner's syndrome to differentiate between preganglionic/central and postganglionic lesions. If the miotic pupil dilates, then it is preganglionic/central. If no dilation, then it is postganglionic. Failure of the Horner's pupil to dilate as much as the normal eye indicates postganglionic. This test should not be performed within 24 hours of the 10% cocaine test, because the 2 tests will affect each other. Q2) correct answer is #2-Acquired Horner's Syndrome- It is characterized by ptosis, miosis, and anhydrosis (usually just 1 side of the face). It is caused by damage to sympathetic nerves that innervate the head.

74. Swodeam Consulting - MTO Quiz Here are the Answers. horner's syndrome. 1. What clinical signs comprise horner'ssyndrome? 4. What is your main concern for a patient with horner's syndrome? http://swodeam.com/mto/mtoquiz2q.html

Manual Therapy Online Quiz # 2 Questions for March 4, 1997 Non-congenital unilateral Horner's syndrome is usually an indication of serious neurological disease or damage. It may exist in isolation or as part of Wallenberg's or Pancoast syndrome in any event, the recognition of Horner's syndrome is of paramount importance and a more than superficial understanding of its pathology and relevance helpful. The following questions concern the clinical manifestations of this syndrome and its implications. Here are the Answers Horner's Syndrome What clinical signs comprise Horner's syndrome? Which component of the neurological system must be damaged to produce Horner's syndrome? What sites in neurological system must the damage or the disease process affect? What is your main concern for a patient with Horner's syndrome? What steps do you take once you have identified Horner's syndrome? References: Just about any halfway decent neurology text will give information on Horner's but these are fairly good. Gilman, S, Newman, SW. Manter and Gatz's Essentials of Clinical

75. David R. Hardten, MD - Eye Conditions - Horner's Syndrome David R. Hardten, MD. Home Conditions horner's syndrome, http://drhardten.eyemdlink.com/Condition.asp?ConditionID=227

76. Horner's Syndrome Neither is MGH or MGH Neurology responsible for the content of any articlesor replies. No messages are screened for content. horner's syndrome. http://neuro-www.mgh.harvard.edu/forum_2/HeadacheF/11.4.991.28PMHornerssyndr.htm

This Web Forum is not moderated in any sense. Anyone on the Internet can post articles or reply to previously posted articles, and they may do so anonymously. Therefore, the opinions and statements made in all articles and replies do not represent the official opinions of MGH and MGH Neurology. Neither is MGH or MGH Neurology responsible for the content of any articles or replies. No messages are screened for content. Horner's syndrome This article submitted by KB on 11/4/99. Email Address: Tbirdy57@aol.com Have unilateral rt. ptosis occasionally, pupil is slow reacting to light and dark compared to other eye. Throbbing headace at back of head, hyersensitive to sound and light, vertigo, nausea, sensation of continuing to move after I have stopped. Positional vertigo. Onset appox. 10 weeks ago. Diagnosed with adhesive arachnoiditis several years ago. Recent CAT scan showed numerous scattered densities over the left temporal and parietal lobes, also present in the middle cranial fossa on the right. Recent blood presure elevation from 118/76 to 136/88, feel like I could jump out of my skin. Any suggestions? Next Article Previous Article Return to Neurological Disorder Topic Menu Here is a list of responses that have been posted regarding this article...

77. VetMedCenter - Consumer - Article Details Question and Answer. horner's syndrome. Understanding Your Pet's MedicalDiagnosis What is horner's syndrome? What causes horner's syndrome? http://www.vetmedcenter.com/consumer/display.asp?fn=P-MR-M-Nu_5-hornerso1XX.xml&

78. SÍNDROME DE HORNER Y NEUROBLASTOMA TORÁCICO EN LA INFANCIA Translate this page horner'S syndrome AND THORACIC NEUROBLASTOMA IN CHILDHOOD. Key words horner's syndrome,thoracic neuroblastoma, childhood, chest X-ray plate. INTRODUCCIÓN. http://www.oftalmo.com/seo/1998/04abr98/12.htm

ARCHIVOS DE LA SOCIEDAD ESPAÑOLA DE OFTALMOLOGIA N.º 4 - Abril 1998 COMUNICACIÓN CORTA SÍNDROME DE HORNER Y NEUROBLASTOMA TORÁCICO EN LA INFANCIA HORNER'S SYNDROME AND THORACIC NEUROBLASTOMA IN CHILDHOOD GARCÍA DE VICUÑA MUÑOZ DE LA NAVA C, FERNÁN DEZ GUARDIOLA A, IGLESIAS GARCÍA DE VICUÑA JA, ARUMI BONET J, MANZANARES BAHI R RESUMEN Objetivo/método: Presentamos dos casos de síndrome de Horner en niños de 6 y 16 meses de edad como única manifestación clínica de un neuroblastoma torácico, que es una de las neoplasias malignas más frecuentes en la infancia. Resultados/conclusiones: En ambos casos el mismo día en que se diagnosticó el Sd. de Horner se realizó una placa simple de tórax que mostró la presencia de una tumoración mediastínica compatible con neuroblastoma. Ante una ptosis con buena función del músculo elevador del párpado superior es importante detectar los signos del Sd. de Horner que constituye el segundo signo más frecuente en el neuroblastoma torácico. Palabras clave: Síndrome de Horner, neuroblastoma torácico, infancia, placa simple de tórax. SUMMARY Purpose/method: We present two children aged 6 and 16 months old, affected of Horner's syndrome as the only sign of thoracic neuroblastoma, which is one of the most frequent malignant tumors in children.

79. Y. Ralph Chu, MD - Eye Conditions - Horner's Syndrome Y. Ralph Chu, MD. Home Conditions horner's syndrome, http://doctorchu.eyemdlink.com/Condition.asp?ConditionID=227

80. Thomas W. Samuelson, MD - Eye Conditions - Horner's Syndrome Thomas W. Samuelson, MD. Home Conditions horner's syndrome, http://drsamuelson.eyemdlink.com/Condition.asp?ConditionID=227

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