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Topographic Analysis of Horner's Syndrome

1986; Wiley; Volume: 94; Issue: 4 Linguagem: Inglês

10.1177/019459988609400409

1097-6817

Peter G. Smith, Timothy J. Dyches, Ronald M. Burde,

Migraine and Headache Studies

Horner's syndrome or oculosympathetic paralysis is not an uncommon finding in patients with head and neck neoplasms. While in most cases the syndrome is easily established at the bedside, it can be confirmed and topographically defined as a central, preganglionic, or postganglionic lesion through sequential pharmacologic testing. The importance of such localization lies in differentiating neoplasia vs. a benign condition as the cause of the syndrome. Such variants as congenital Horner's, an alternating Horner's, and a pseudo-Horner's syndrome are discussed in regard to their differential features.