Neuro-Ophthalmological Manifestations of Horner’s Syndrome: Current Perspectives

Rym Maamouri, Molka Ferchichi, Yasmine Houmane, Zaineb Gharbi, Monia Cheour Department of Ophthalmology, Habib Thameur Hospital, Tunis, TunisiaCorrespondence: Rym Maamouri, Department of Ophthalmology, Habib Thameur Hospital, 3, Rue Ali Ben Ayed, Montfleury, Tunis, 1089, Tunisia, Tel +21698314970, E...

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Main Authors: Maamouri R, Ferchichi M, Houmane Y, Gharbi Z, Cheour M
Format: Article
Language:English
Published: Dove Medical Press 2023-07-01
Series:Eye and Brain
Subjects:
Online Access:https://www.dovepress.com/neuro-ophthalmological-manifestations-of-horners-syndrome-current-pers-peer-reviewed-fulltext-article-EB
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author Maamouri R
Ferchichi M
Houmane Y
Gharbi Z
Cheour M
author_facet Maamouri R
Ferchichi M
Houmane Y
Gharbi Z
Cheour M
author_sort Maamouri R
collection DOAJ
description Rym Maamouri, Molka Ferchichi, Yasmine Houmane, Zaineb Gharbi, Monia Cheour Department of Ophthalmology, Habib Thameur Hospital, Tunis, TunisiaCorrespondence: Rym Maamouri, Department of Ophthalmology, Habib Thameur Hospital, 3, Rue Ali Ben Ayed, Montfleury, Tunis, 1089, Tunisia, Tel +21698314970, Email ryma.maamouri@fmt.utm.tnAbstract: Horner’s syndrome (HS) is caused by a damage to the oculosympathetic pathway. HS may be congenital, but it is usually acquired and may reveal a life-threatening condition. According to the anatomic location of the underlying pathologic process, HS is classified as central, pre- or postganglionic, when the lesion affects the first, second or third-order neuron, respectively. Pharmacological testing, if available, can be used to differentiate HS from « pseudo-HS » in patients with mild symptoms. Given the financial burden that imaging of the entire oculosympathetic pathway represents, a targeted imaging approach is advised. Although in the majority of cases, clinical examination may predict etiology, in other cases pharmacological testing can help in the localization process. We searched PubMed data base for papers published before December 2022 that concerned Horner’s syndrome, its neuro-ophthalmological manifestations and diagnosis. In this article, we describe the main neuro-ophthalmological manifestations of the three types of HS, the most common etiologies, and a targeted diagnostic strategy in each type.Keywords: Horner’s syndrome, neuro-ophthalmology, pharmacological testing
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spelling doaj.art-27a99607fc834656a65128cf96a345322023-07-16T16:02:53ZengDove Medical PressEye and Brain1179-27442023-07-01Volume 159110085130Neuro-Ophthalmological Manifestations of Horner’s Syndrome: Current PerspectivesMaamouri RFerchichi MHoumane YGharbi ZCheour MRym Maamouri, Molka Ferchichi, Yasmine Houmane, Zaineb Gharbi, Monia Cheour Department of Ophthalmology, Habib Thameur Hospital, Tunis, TunisiaCorrespondence: Rym Maamouri, Department of Ophthalmology, Habib Thameur Hospital, 3, Rue Ali Ben Ayed, Montfleury, Tunis, 1089, Tunisia, Tel +21698314970, Email ryma.maamouri@fmt.utm.tnAbstract: Horner’s syndrome (HS) is caused by a damage to the oculosympathetic pathway. HS may be congenital, but it is usually acquired and may reveal a life-threatening condition. According to the anatomic location of the underlying pathologic process, HS is classified as central, pre- or postganglionic, when the lesion affects the first, second or third-order neuron, respectively. Pharmacological testing, if available, can be used to differentiate HS from « pseudo-HS » in patients with mild symptoms. Given the financial burden that imaging of the entire oculosympathetic pathway represents, a targeted imaging approach is advised. Although in the majority of cases, clinical examination may predict etiology, in other cases pharmacological testing can help in the localization process. We searched PubMed data base for papers published before December 2022 that concerned Horner’s syndrome, its neuro-ophthalmological manifestations and diagnosis. In this article, we describe the main neuro-ophthalmological manifestations of the three types of HS, the most common etiologies, and a targeted diagnostic strategy in each type.Keywords: Horner’s syndrome, neuro-ophthalmology, pharmacological testinghttps://www.dovepress.com/neuro-ophthalmological-manifestations-of-horners-syndrome-current-pers-peer-reviewed-fulltext-article-EBhorner's syndromeneuro-ophthalmologypharmacological testing
spellingShingle Maamouri R
Ferchichi M
Houmane Y
Gharbi Z
Cheour M
Neuro-Ophthalmological Manifestations of Horner’s Syndrome: Current Perspectives
Eye and Brain
horner's syndrome
neuro-ophthalmology
pharmacological testing
title Neuro-Ophthalmological Manifestations of Horner’s Syndrome: Current Perspectives
title_full Neuro-Ophthalmological Manifestations of Horner’s Syndrome: Current Perspectives
title_fullStr Neuro-Ophthalmological Manifestations of Horner’s Syndrome: Current Perspectives
title_full_unstemmed Neuro-Ophthalmological Manifestations of Horner’s Syndrome: Current Perspectives
title_short Neuro-Ophthalmological Manifestations of Horner’s Syndrome: Current Perspectives
title_sort neuro ophthalmological manifestations of horner rsquo s syndrome current perspectives
topic horner's syndrome
neuro-ophthalmology
pharmacological testing
url https://www.dovepress.com/neuro-ophthalmological-manifestations-of-horners-syndrome-current-pers-peer-reviewed-fulltext-article-EB
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AT houmaney neuroophthalmologicalmanifestationsofhornerrsquossyndromecurrentperspectives
AT gharbiz neuroophthalmologicalmanifestationsofhornerrsquossyndromecurrentperspectives
AT cheourm neuroophthalmologicalmanifestationsofhornerrsquossyndromecurrentperspectives