Acquired Horner′s syndrome in an infant: A case report
Horner′s syndrome has varied etiology. We report a case of acquired Horner′s syndrome in an infant. A 3-month-old female child was referred for drooping of right eye upper lid on the second postoperative day following neck surgery. On examination, she had mild ptosis of right eye; with enophthalmos...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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Series: | Muller Journal of Medical Sciences and Research |
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Online Access: | http://www.mjmsr.net/article.asp?issn=0975-9727;year=2014;volume=5;issue=2;spage=174;epage=176;aulast=Kamath |
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author | Sumana J Kamath Madhurima A Nayak Flora D Lobo |
author_facet | Sumana J Kamath Madhurima A Nayak Flora D Lobo |
author_sort | Sumana J Kamath |
collection | DOAJ |
description | Horner′s syndrome has varied etiology. We report a case of acquired Horner′s syndrome in an infant. A 3-month-old female child was referred for drooping of right eye upper lid on the second postoperative day following neck surgery. On examination, she had mild ptosis of right eye; with enophthalmos and miosis. A clinical diagnosis of Horner′s syndrome was made. One percent phenylephrine test was done which dilated right pupil, suggestive of a postganglionic lesion. The sample was biopsied and revealed an infected lymphatic cyst. Horner′s syndrome is a collection of signs due to interruption of sympathetic innervation to eye and face, characterized by miosis, mild ptosis, enophthalmos, and anhydrosis. The sympathetic pathway is a three neuron pathway. The present lesion is in the third order fibers which form plexus around the internal carotid artery. Dissection along the carotid can be an important cause for interruption of the sympathetic pathway. |
first_indexed | 2024-12-11T22:08:25Z |
format | Article |
id | doaj.art-6a7e37b007b7452f856049072c6ace42 |
institution | Directory Open Access Journal |
issn | 0975-9727 |
language | English |
last_indexed | 2024-12-11T22:08:25Z |
publishDate | 2014-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Muller Journal of Medical Sciences and Research |
spelling | doaj.art-6a7e37b007b7452f856049072c6ace422022-12-22T00:48:53ZengWolters Kluwer Medknow PublicationsMuller Journal of Medical Sciences and Research0975-97272014-01-015217417610.4103/0975-9727.135765Acquired Horner′s syndrome in an infant: A case reportSumana J KamathMadhurima A NayakFlora D LoboHorner′s syndrome has varied etiology. We report a case of acquired Horner′s syndrome in an infant. A 3-month-old female child was referred for drooping of right eye upper lid on the second postoperative day following neck surgery. On examination, she had mild ptosis of right eye; with enophthalmos and miosis. A clinical diagnosis of Horner′s syndrome was made. One percent phenylephrine test was done which dilated right pupil, suggestive of a postganglionic lesion. The sample was biopsied and revealed an infected lymphatic cyst. Horner′s syndrome is a collection of signs due to interruption of sympathetic innervation to eye and face, characterized by miosis, mild ptosis, enophthalmos, and anhydrosis. The sympathetic pathway is a three neuron pathway. The present lesion is in the third order fibers which form plexus around the internal carotid artery. Dissection along the carotid can be an important cause for interruption of the sympathetic pathway.http://www.mjmsr.net/article.asp?issn=0975-9727;year=2014;volume=5;issue=2;spage=174;epage=176;aulast=KamathInfantneck surgerypostganglionic Horner′s syndrome |
spellingShingle | Sumana J Kamath Madhurima A Nayak Flora D Lobo Acquired Horner′s syndrome in an infant: A case report Muller Journal of Medical Sciences and Research Infant neck surgery postganglionic Horner′s syndrome |
title | Acquired Horner′s syndrome in an infant: A case report |
title_full | Acquired Horner′s syndrome in an infant: A case report |
title_fullStr | Acquired Horner′s syndrome in an infant: A case report |
title_full_unstemmed | Acquired Horner′s syndrome in an infant: A case report |
title_short | Acquired Horner′s syndrome in an infant: A case report |
title_sort | acquired horner s syndrome in an infant a case report |
topic | Infant neck surgery postganglionic Horner′s syndrome |
url | http://www.mjmsr.net/article.asp?issn=0975-9727;year=2014;volume=5;issue=2;spage=174;epage=176;aulast=Kamath |
work_keys_str_mv | AT sumanajkamath acquiredhornerssyndromeinaninfantacasereport AT madhurimaanayak acquiredhornerssyndromeinaninfantacasereport AT floradlobo acquiredhornerssyndromeinaninfantacasereport |