Horner's syndrome

Question 1

What is Horner’s syndrome?

Answer 1

Triad of

1. Miosis
2. Partial ptosis
3. Anhidrosis

Question 2

What other symptoms may be present in Horner’s syndrome?

Answer 2

• possible subtle conjunctival injection and enophthalmos

- other symptoms based on cause

Question 3

What is the aetiology of Horner’s syndrome?

Answer 3

disruption to the face’s sympathetic supply

Question 4

What is the 3 neuron pathway in Horner’s syndrome?

Answer 4

Hypothalamus leads to T1 nerve root to the eye via carotid artery wall

Question 5

What are top differentials for Horner’s syndrome?

Answer 5

1. Brainstem: stroke/tumour
2. Pancoast tumour
3. Carotid artery dissection

Question 6

What is an examination finding in Horner’s?

Answer 6

pericardial rub

Question 7

What investigastions are used in Horner’s?

Answer 7

1. CXR: Pancoast tumour
2. CT head: stroke/tumour
3. MRI angiography: carotid artery dissection

Question 8

What is the management of Horner’s?

Answer 8

treat the cause