Horners Syndrome

Question 1

Features of Horner’s syndrome?

Answer 1

Miosis
Ptosis
Enopththalmos
varying degrees of Anhidrosis (loss of sweating one side)

Question 2

What is Horner’s syndrome?

Answer 2

Lesion in sympathetic pathway

Question 3

How can Horner’s syndrome be classified?

Answer 3

Central lesion
Pre-ganglionic
Post-ganglionic

Question 4

How can you differentiate between different causes of Horner’s?

Answer 4

Heterochromia seen in congenital Horner’s
Degree/location of anhidrosis
Pharamcologic test- apraclonidine drops- causes pupillary dilation in Horner’ and slight constriction in normal pupil

Question 5

Causes of central lesion causing Horner’s?

Answer 5

Stroke
Syringomyelia
MS
Tumour
Encephalitis

Question 6

Location of anhidrosis in central lesion Horner’s?

Answer 6

Anhidrosis of face, arm and trunk

Question 7

Causes of pre-ganglionis lesion causing Horner’s?

Answer 7

Pancoast’s Tumour
Thyroidectomy
Trauma
Cervical rib

Question 8

Location of anhidrosis in preganglionic lesion?

Answer 8

Anhidrosis of face

Question 9

Cause of post ganglionic lesion causing Horner’s?

Answer 9

Carotid artery dissection
Carotid aneurysm
Cavernous sinus thrombosis
Cluster headache

Question 10

Location of anhidrosis in post-ganglionic lesion?

Answer 10

No anhidrosis