Differences
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| Both sides previous revision Previous revision Next revision | Previous revision | ||
| horner_syndrome [2025/06/02 16:22] – Scott Larson | horner_syndrome [2025/06/02 16:27] (current) – Scott Larson | ||
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| ====== Horner Syndrome ====== | ====== Horner Syndrome ====== | ||
| + | * Sympathetic dysfunction to the eye | ||
| + | * Sympathetic innervation | ||
| + | * Clinical features: | ||
| + | * Anisocoria worse in dim light, smaller pupil doesn' | ||
| + | * Mild ptosis in the smaller pupil | ||
| + | * Anhydrosis on the affected side | ||
| + | * Heterochromia- less pigment on the affected side | ||
| + | |||
| + | =====Etiology===== | ||
| + | * Trauma | ||
| + | * Tumor | ||
| =====Clinical Testing===== | =====Clinical Testing===== | ||
| ====Pharmacologic Testing==== | ====Pharmacologic Testing==== | ||
| - | ===Apraclonidine=== | + | **Apraclonidine** |
| * Use in children >2-3 years due to risk of CNS respiratory depression | * Use in children >2-3 years due to risk of CNS respiratory depression | ||
| * Measure pupils in bright and dim light | * Measure pupils in bright and dim light | ||
| Line 11: | Line 22: | ||
| * Negative (normal) result: | * Negative (normal) result: | ||
| * See: | * See: | ||
| - | ===[[horner_syndrome_and_cocaine|Cocaine]]=== | + | **[[horner_syndrome_and_cocaine|Cocaine]]**\\ |
| - | ===Amphetatine=== | + | **[[cocaine_and_amphetamine_in_horner_syndrome|Amphetatine]]** |
| ====CNS imaging==== | ====CNS imaging==== | ||
| ===St. Luke's Imaging Protocol=== | ===St. Luke's Imaging Protocol=== | ||
| * Order: MRI Brain with/ | * Order: MRI Brain with/ | ||