Horner's syndrome

Question 1

What is Horner’s Syndrome?

Answer 1

Unilateral Sympathetic Dysfunction in the face

Question 2

What are the risk factors for Horner’s Syndrome?

Answer 2

> Pancoast Tumour
Tumours compressing sympathetic outflow
Diseases
Iatrogenic
Repeated minor head trauma
Stroke
Vascular damage (carotids/ jugular/ cluster headaches)

Question 3

What are the signs and symptoms of Horner’s Syndrome?

Answer 3

> Miosis
Ptosis
Anhidrosis
(enopthalmos)

Question 4

What is the epidemiology of Horner’s Syndrome?

Answer 4

Rare

Question 5

What investigations would you do for Horner’s Syndrome?

Answer 5

> Investigations to rule out other causes (e.g. CXR for tumours/ Doppler US/ CT/ MRI)
Using eye drops to dilate the affected eye as compared to the unaffected eye

Question 6

What is the management of Horner’s syndrome?

Answer 6

> Treatment of underlying cause

>

Question 7

What are the complications of horner’s syndrome?

Answer 7

> Dizziness
Vision problems
Pain
Muscular weaknesses or involuntary movements

Question 8

What is the prognosis of Horner’s syndrome?

Answer 8

> Being or Fatal depends on cause (e.g. tumours are more likely to lead to death than minor trauma)