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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Main Authors: Sumana J Kamath, Madhurima A Nayak, Flora D Lobo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Muller Journal of Medical Sciences and Research
Subjects:
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.
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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
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AT madhurimaanayak acquiredhornerssyndromeinaninfantacasereport
AT floradlobo acquiredhornerssyndromeinaninfantacasereport