Horners Syndrome Flashcards
1
Q
define horners syndrome?
A
a condition that results from the disruption of the sympathetic nerves supplying the face resulting ino Ptosis (drooping) o Miosis (pinpoint pupils) o Anhidrosis (no sweating) – o Enophthalmos (sunken eyes)
2
Q
how can we determine the cause of horners syndrome?
A
we can assess the region of anhydrosis
3
Q
what if anhydrosis affects face, arm and trunk?
A
central lesion caused by ... Stroke Syringomyelia Multiple sclerosis Tumour Encephalitis
4
Q
what if anhydrosis affects face?
A
pre-ganglionic region caused by... Pancoast's tumour Thyroidectomy Trauma Cervical rib
5
Q
what if there is no anhydrosis?
A
post-gangionic lesion caused by... Carotid artery dissection Carotid aneurysm Cavernous sinus thrombosis Cluster headache
6
Q
what is most commonly associated with horners?
A
pancoast tumour
7
Q
what are the presenting symptoms of horners syndrome?
A
- Inability to open the eye fully on the affected side
- Loss of sweating on affected side
- Facial flushing
- Orbital pain/headache
- Other symptoms based on CAUSE
8
Q
what investigations should be undertaken for horners syndrome?
A
- CXR - apical lung tumour
- CT/MRI - cerebrovascular accidents
- CT angiography - dissection
9
Q
what is the management and prognosis for horners syndrome?
A
- manage the cause
- depends on cause
