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         Horner Syndrome:     more detail
  1. Horner's Syndrome - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References by ICON Health Publications, 2004-10-08
  2. Horner's syndrome following thoracic epidural analgesia in children: A [A short communication from: Acute Pain by T. Valois, M. Ranger, et all 2006-06
  3. Gale Encyclopedia of Cancer: Horner's syndrome by C.N.S., M.S.N. Linda K. Bennington, 2002-01-01
  4. HORNER AND THE SYNDROME OF PARALYSIS OF THE CERVICAL SYMPATHETIC (REPRINT FROM THE ARCHIVES OF SURGERY APRIL, 1929, VOL 18, PP 2025-2039) by MD J F FULTON, 1929
  5. Pharmacologic reversal of Horner's syndrome-related ptosis with apraclonidine.(FACIAL PLASTIC SURGERY CLINIC): An article from: Ear, Nose and Throat Journal by Eugene A. Chu, Patrick J. Byrne, 2007-05-01
  6. Horner's syndrome: An entry from Thomson Gale's <i>Gale Encyclopedia of Cancer, 2nd ed.</i> by Linda, C.N.S., M.S.N. Bennington, Teresa Odle, 2006
  7. Superior pulmonary sulcus tumor. Tumor characterized by pain, Horner's syndrome, destruction of bone and atrophy of hand muscles. In: The Journal of the American Medical Association, Vol. 99, No. 17, October 22, 1932. by Henry Khunrath (1875-1939). PANCOAST, 1932-01-01
  8. Ministry Syndrome: Tragedy and Scandal of the Gulf Illness by Andrew Horner,
  9. Vasomotor and reflex sequelae of unilateral cervical and lumbar ramisectomy in a case of Raynaud's disease: With observations on tonus by John F Fulton, 1928

61. University Of Iowa EyeRounds.org
This positive cocaine test confirmed the diagnosis of horner s syndrome in ourpatient. horner s syndrome due to firstorder neuron lesions of the
http://webeye.ophth.uiowa.edu/eyeforum/case22.htm
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Horner's Syndrome (due to Cluster Headache):
46 y.o. man presenting with HA and ptosis.
Presented by Jordan M. Graff, M.D. Faculty: Andrew Lee, M.D. Edited by Andrew Doan, M.D., Ph.D. and Thomas Oetting, M.D. CC: 46 y.o. man presenting with ptosis and unilateral headache.
HPI: 3-4 weeks of severe headaches (HA), right-sided and severe (up to 10/10), throbbing, radiating to right eye, teeth, and jaw lasting < 2 hrs. HA often associated with rhinorrhea. Wife of patient later noted that he had "sunken and droopy eye" during the attacks. No history of trauma nor weight loss. PMH/FH/POH: Hypothyroidism on thyroid replacement. Headaches, as described above. No POHx. Patient's rhinorrhea and headache had been treated symptomatically by previous physicians. The patient is a smoker (cigars and cigarettes).
EXAM OCULAR:
  • VA 20/20 OD and OS without correction. Extraocular motility and IOP: Normal Pseudoenopthalmos: Hertel measurements: Base 97, 19mm OD and OS VF by confrontation: Full, OD, OS

62. Picture Of Horner's Syndrome  * OTOLARYNGOLOGY HOUSTON
Picture of horner s syndrome (Miosis, Ptosis, Anhidrosis), following theinterruption of the cervical sympathetics.
http://www.ghorayeb.com/HornersSyndrome.html
Otolaryngology Houston
Bechara Y. Ghorayeb, MD
8830 Long Point, Suite 806
Houston, Texas 77055
Tel. 713 464 2614
Horner's Syndrome

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MIOSIS:
Appears at once after sympathectomy or block. Difference in size of pupils evident in daylight and accentuated in dim light since pupil does not dilate in dark. Yet pupil contracts briskly to light and convergence since third cranial nerve (thru ciliary ganglion) still controls spheicter pupillae. Homatropine but not cocaine dilates Horner pupil. Cilio-spinal pupil reflex lost. PTOSIS / NARROWING PALPEBRAL FISSURE: Due to combination of drooping of the upper lid and raising of the lower lid (at times with convex up appearance). Lid droops due to paralysis of non-striated part of levator palpebrae. Since voluntary portion of levator is controlled by 3rd nerve, ptosed lid can be voluntarily raised. Hence ptosis of Horner's syndrome is a pseudo-ptosis. ENOPHTALMOS: This is usually due to at optical illusion produced by the narrowed palpebral fissure. Evidence favors idea that muscle of Muller although important in animals is vestigal in man and does not contribute to either enophthalmos by paralysis or exophthalmas by stimulation. Occasionally atrophy of orbit contens and hypotony of globe produce some degree of enophthalmos

63. Horner's Syndrome - Wikipedia, The Free Encyclopedia
horner s syndrome is a clinical syndrome caused by damage to the sympathetic Although most causes are relatively benign, horner s syndrome may reflect
http://en.wikipedia.org/wiki/Horner_syndrome
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Horner's syndrome
From Wikipedia, the free encyclopedia.
(Redirected from Horner syndrome Horner's syndrome is a clinical syndrome caused by damage to the sympathetic nervous system resulting in ptosis (drooping upper eyelid), miosis (constricted pupil), and occasionally enophthalmos (the impression that the eye is sunk in) and anhidrosis (decreased sweating ) on one side of the face. Although most causes are relatively benign, Horner's syndrome may reflect serious pathology in the neck or chest (e.g. Pancoast tumor of the lung) and hence requires workup. It is named after Dr Johann Friedrich Horner (1831-1886), the Swiss ophthalmologist who first described the syndrome in 1869. Several others had previously described cases, but "Horner's syndrome" is most prevalent. In France, Claude Bernard is also eponymised with the condition being called "syndrome Bernard-Horner". edit
Reference
  • Horner JF.

64. Horner's Syndrome
DESCRIPTION horner s syndrome is caused by interruptions of the sympatheticnerve supply to the eye and results in miosis, ptosis, and absence of sweating
http://www.5mcc.com/Assets/SUMMARY/TP0434.html
Horner's syndrome
DESCRIPTION: Horner's syndrome is caused by interruptions of the sympathetic nerve supply to the eye and results in miosis, ptosis, and absence of sweating of the ipsilateral face and neck
  • Peripheral lesion - distal to superior cervical ganglion
  • Central lesion - proximal to superior cervical ganglion

System(s) affected: Nervous, Skin/Exocrine
Genetics: Some autosomal dominant familial incidence
Incidence/Prevalence in USA: Unknown
Predominant age: May occur at any age
Predominant sex: Male = Female
CAUSES:
  • Interruption of the sympathetic nerve fibers that originate in the hypothalamus and travel down to the lateral part of the brain stem to exit in the thoracic area. These fibers synapse in the cervical sympathetic ganglia and the postganglionic fibers travel to the eye along the wall of the carotid and ophthalmic arteries.
  • Idiopathic
Synonyms:
  • Bernard-Horner syndrome
  • Bernard's syndrome
  • Cervical sympathetic syndrome
  • Oculosympathetic syndrome
ICD-9-CM: 337.9 Horner's syndrome REFERENCES:
  • Pryce-Phillips W, Murray TJ: Essential Neurology. New York, Scientific American Medicine, 1991
  • 65. Horner
    difference in eye colour in congenital horner s syndrome (as in this case, theright eye is lighter What is the cause enophthalmos in horner s syndrome?
    http://www.mrcophth.com/ptosis/horner.html
    Horner's Syndrome
    Right congenital Honer's syndrome with anisocoria.
    Left Horner's syndrome.
    Right Horner's sydrome.
    The patient has a slight right ptosis with ipsilateral miosis(you may need to shield the eyes or dim the light to accentuate the anisocoria). There is an apparent right enophthalmos. Additional signs (which may be difficult to detect) are anhydrosis and vasodilation of head and neck if the lesion were pre-ganglionic. Look for the cause:
    • difference in eye colour in congenital Horner's syndrome (as in this case, the right eye is lighter than the left) neck scar as in thryoidectomy wasting of ipsilateral hand muscles due to brachial plexus lesion as in Pancoast's tumour scars below the claivcle from sympathetomy for Raynaud's disease (this is an out-dated treatment)
    Questions: 1. What is the cause enophthalmos in Horner's syndrome?
    answer
    The patient has apparent enophthalmos due to narrowing of the palpebral fissure. This enophthalmos is not true enophthalmos and cannot be demonstrated with exophthalmometer. It is causes by the ptosis and updrawing of the lower lid as a result of paralysis of the Muller's muscle of the upper lid and the smooth muscle of the lower lid retractor.

    66. Traumatic Horner's Syndrome
    This site features some of the common and unusual oculoplastic conditions seenin my clinic.
    http://www.mrcophth.com/oculoplasticgallery/traumatichorner/oculoplasticgallery.
    Traumatic Horner's Syndrome This 40 year-old man suffered a gunshot wound to his left neck that required surgery to his carotid artery. Post-operatively he was noted to have ipsilateral ptosis and miosis. He was unhappy with his appearance and requested ptosis operation. A levator advancement was performed with satisfactory result.
    Left Horner's syndrome (miosis and ptosis).
    Scar in the left neck from gunshot wound repair.
    Return to the main page

    67. FAQs/Anisocoria And Horner's Syndrome - AAPOS
    horner’s syndrome also produces a small pupil in the affected eye. In horner’ssyndrome, the pupil in the involved eye is usually smaller and does not
    http://www.aapos.org/pubresources/FAQs-Anisocoria and Horners Syndrome.htm
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    Public Resources  » FAQs/Anisocoria and Horner's Syndrome Anisocoria and Horner's Syndrome What is the pupil?
    The colored part of the eye is called the iris It is a circular muscle, similar in shape to a donut. The empty hole in the middle, which allows light to enter the eye, is called the pupil When in a bright room or outdoors the pupil usually constricts; conversely when in a dark room the pupil usually dilates to allow more light to enter the eye. My child’s pupils are different sizes. Is this normal? Normally the size of the pupil is the same in each eye with both eyes dilating or constricting together.. The term anisocoria refers to pupils that are different sizes at the same time. The presence of anisocoria can be normal, or it can be a sign of a medical condition. When is anisocoria normal? Approximately 20% of the population has anisocoria. The amount of anisocoria can vary from day-to-day and can even switch eyes. Anisocoria that is NOT associated with or due to an underlying medical condition is called physiologic anisocoria Typically with physiologic anisocoria, the difference in pupil size between the two eyes does not exceed one millimeter.

    68. Horner's Syndrome- Health Encyclopedia And Reference
    horner s syndrome Symptoms, Treatments and Medications.
    http://www.healthcentral.com/encyclopedia/408/488/Horners_Syndrome.html
    Dr. Dean TV Specials Newsletters Help Apr 14, 2005 Home News Diseases Symptoms ... Health Tools Search Choose a Health Topic * All Health Topics * Acne Addictions AIDS/HIV Alcohol Abuse Allergies Alternative Medicine Alzheimer's Arthritis Asthma Attention Deficit Disorder (ADHD) Backache Bipolar Affective Disorder Birth Control Blood Blood Pressure Bone/Joint/Tendon Bowel Brain Breast cancer Cancer Cerebral Palsy Cholesterol Cramps Crohn's Disease Cysts Dental/Oral Depression Diabetes Diet, Fitness, Looks Disabled/Special Needs Drug Abuse Ear/Nose/Throat Eating/Appetite Eczema Encephalitis Eye/Vision Fatigue Fever Flu Food Poisoning Foot Gallbladder Gastrointestinal Genetic/Congenital GERD/Heartburn Hair Loss Hair/Scalp Headache Hearing Heart Disease, Stroke Heat/Sunstroke Hepatitis Hernia Herpes High Blood Pressure Hormonal Immune Disorders Immunizations/Vaccines Impotence Incontinence/Bladder Infections Injuries Kidney/Urinary Kids Learning Disabilities Liver Lung Cancer Men Menopause, Postmenopause Migraine Mobility/Balance Multiple Sclerosis Muscle Neural Nosebleeds Pain Parasites Pituitary PMS Pregnancy Prostate Cancer Prostate Disorders Psoriasis Psychological Raynaud's Disease Respiratory Reye Syndrome Rheumatoid Arthritis Schizophrenia Seniors Sensory Sexually Transmitted Skin Sleep Speech Disorders Spinal Thyroid Trauma Weight Loss Women Yeast Infections
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    69. Horner's Syndrome Information Diseases Database
    horner s syndrome,Ocularophthalmoplegia, sympathetic,Claude Bernard-hornersyndrome, Disease Database Information.
    http://www.diseasesdatabase.com/ddb6014.htm
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    3 synonyms or equivalents were found. Horner's syndrome
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    Claude Bernard-Horner syndrome Horner's syndrome: Definition(s) via UMLS Code translations and terms via UMLS Horner's syndrome: specific web sites Send Horner's syndrome to medical search engines (JavaScript enabled browsers only.) If your browser has no JavaScript you can still use these:
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    70. Eye Problems - Horner's Syndrome
    Bilateral horner s syndrome sometimes occurs, but this should produce miotic horner s syndrome occurs due to damage to the recurrent largyngeal nerve,
    http://www.vetinfo.com/chorners.html
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    Eye Problem - Third eyelid up, Horner's Syndrome
    Haw's syndrome or third eyelid problem

    Horner's or Haw's Syndrome

    Third eyelid up
    also see Eye problems
    Haw's syndrome or third eyelid problems Question: Hi Dr. Mike,
    I searched your site for third eye problems and I am interested in Haw's syndrome. I have a cat that seems healthy in all ways except that for the past several days he has had both his third eyes one third the way up. He jumps and plays, eats great, and there is no
    discharge or obvious irritation to the eyes and no light sensitivity. I am just wondering if
    there are any infections or treatable causes that would only have this symptom. Haw's

    71. ► Horner’s Syndrome
    A medical encycopedia article on the topic horner’s syndrome.
    http://www.umm.edu/ency/article/000708.htm
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    Horner’s syndrome
    Overview Symptoms Treatment Prevention Definition: Horner's syndrome is caused by injury to the sympathetic nerves of the face which includes a constricted pupil, drooping eyelid ptosis ), and facial dryness.
    Causes, incidence, and risk factors: There are many potential causes of Horner's syndrome. Any interruption of the sympathetic nerve fibers which start in the hypothalamus (a central brain region) and run via the upper spinal cord near the carotid artery and to the face may lead to Horner's syndrome. Such injuries can result from a stroke in the brainstem, injury to the carotid artery, a tumour in the upper lobe of the lung, and cluster headaches. Rarely, Horner's syndrome may be congenital (present at birth) and associated with a lack of pigmentation of the iris. Eye drops and certain medications may also lead to this condition.
    Central nervous system
    Review Date: 7/25/2002
    Reviewed By: Joseph V. Campellone, M.D., Division of Neurology, Cooper Hospital/University Medical Center, Camden, NJ. Review provided by VeriMed Healthcare Network.

    72. National Cancer Institute - Dictionary Of Cancer Terms
    horner s syndrome. A condition in which one side of the face is flushed, doesnot produce sweat, and has a constricted pupil and drooping eyelid.
    http://www.cancer.gov/Templates/db_alpha.aspx?CdrID=44240

    73. Hill Health Topics A-Z - Horner's Syndrome
    horner s syndrome. National Organization for Rare Disorders. Important It ispossible that the main title of the report horner s syndrome is not the name
    http://www.healthwise.net/hillhealth/Content/StdDocument.aspx?DOCHWID=nord864&SE

    74. Dog Pictures And Dog Information - The Pet Professor
    horner s syndrome article and information on cat health care.
    http://www.thepetprofessor.com/cat-info/horners-syndrome.html
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    75. Dog Pictures And Dog Information - The Pet Professor
    horner s syndrome is a disorder of the nervous system which produces symptoms inthe eyes. This disorder usually occurs after an injury to the sympathetic
    http://www.thepetprofessor.com/secArticles/cat/Horner's_Syndrome.asp
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    A reputable breeder feels responsibility toward the breed, toward the dogs he or she breeds and to the families who choose to live with dogs from their kennel.... Weight Pulling with Dogs Weight pulling is a sport that dates back to the earliest times when dogs were used as draft animals ...

    76. NEJM -- Horner's Syndrome
    Correspondence from The New England Journal of Medicine horner s syndrome.
    http://content.nejm.org/cgi/content/short/341/1/57
    HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 341:57 July 1, 1999 Number 1 Next Horner's Syndrome
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    To the Editor: Firlik and Welch, in Images in Clinical Medicine (Jan. 28 issue), provided a nice example of the clinical and syndrome due to a stab wound of the left side of the neck. The primary injury was to the right side of the cervical spinal cord at C4. The authors, however, incorrectly attributed their patient's right-sided Horner's syndrome to "injury of the right intermediolateral cell column." Horner's syndrome resulting from a cervical spinal cord injury at C4 would be a consequence of the interruption of descending sympathetic Full Text of this Article References
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    77. NEJM -- Sign In
    Correspondence from The New England Journal of Medicine horner s syndrome.
    http://content.nejm.org/cgi/content/full/341/1/57

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    78. Autonomic Differential Diagnosis
    horner s syndrome Ptosis; Miosis; Anhidrosis; Reflex sympathetic dystrophy;Crocodile tears (Bogorad s syndrome); Congenital respiratory failure
    http://www.neuro.wustl.edu/neuromuscular/autonomic.html

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    79. Journal Of Neuroimaging -- Sign In Page
    The authors describe a child presenting with horner s syndrome after the repeated Autosomal dominant congenital horner s syndrome in a Dutch family.
    http://jon.sagepub.com/cgi/content/refs/13/4/367

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    "Congenital" Horner's Syndrome and Carotid Dissection
    Robertson and Pettigrew J Neuroimaging.
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    80. "Congenital" Horner's Syndrome And Carotid Dissection -- Robertson And Pettigrew
    The authors describe a child presenting with horner s syndrome after the repeatedapplication of birthing forceps to the head and neck during vaginal
    http://jon.sagepub.com/cgi/content/abstract/13/4/367

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    Journal of Neuroimaging, Vol. 13, No. 4, 367-370 (2003)
    DOI: 10.1177/1051228403257621
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    "Congenital" Horner's Syndrome and Carotid Dissection
    William C. Robertson, MD Department of Neurology, Chandler Medical Center, University of Kentucky, Lexington, L. Creed Pettigrew, MD Department of Neurology, Stroke Program of the Sanders-Brown Center on Aging, Chandler Medical Center, University of Kentucky, Lexington The authors describe a child presenting with Horner's syndrome after the repeated application of birthing forceps to the head and neck during vaginal delivery. Magnetic resonance imaging

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