Idiopathic congenital Horner Syndrome. Presentation of a case

Authors

  • Leopoldo Garduño-Vieyra Oftalmologia Garduño
  • Raul Rua Martinez Oftalmologia Garduño
  • Natalia Rodriguez Mena Oftalmologia Garduño
  • Isabel De la Fuente Batta Oftalmologia Garduño

DOI:

https://doi.org/10.31288/oftalmolzh202347980

Keywords:

Horner syndrome, congenital, idiopathic, pediatric

Abstract

Horner Syndrome results from an interruption of the sympathetic innervation of the eye. This pathway is a chain of three neurons which originate in the hypothalamus, travels down to spinal cord at the level of lower cervical and upper thoracic levels, then traverses the upper chest cavity traveling with the carotid artery, traverse the orbit to innervate pupillary sphincter and accessory muscles for eyelid retraction. The classic clinical triad is unilateral ptosis, miosis and anhidrosis.

There are many causes of Horner Syndrome which can be congenital o acquired. During the first year of life is most often idiopathic in 70%, but the others can be related to neuroblastoma, that’s why it is so important to recognize the cause of the syndrome in each patient. In this paper we describe a case report of congenital Horner syndrome, how the diagnosis was made, identification of the causing injury and differential diagnosis.

References

Khan Z, Bollu PC. Horner Syndrome. [Updated 2021 May 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK500000/

Braungart S, Craigie RJ, Farrelly P, Losty PD. Paediatric Horner's syndrome: is investigation for underlying malignancy always required? Arch Dis Child. 2019 Oct;104(10):984-987. https://doi.org/10.1136/archdischild-2019-317007

Barrea C, Vigouroux T, Karam J, Milet A, Vaessen S, Misson JP. Horner Syndrome in Children: A Clinical Condition with Serious Underlying Disease. Neuropediatrics. 2016 Aug;47(4):268-72. https://doi.org/10.1055/s-0036-1584085

Martin TJ. Horner Syndrome: A Clinical Review. ACS Chem Neurosci. 2018 Feb 21;9(2):177-186. https://doi.org/10.1021/acschemneuro.7b00405

Kanagalingam S, Miller NR. Horner syndrome: clinical perspectives. Eye Brain. 2015;7:35-46. Published 2015 Apr 10. https://doi.org/10.2147/EB.S63633

Published

2023-09-04

How to Cite

1.
Garduño-Vieyra L, Rua Martinez R, Rodriguez Mena N, De la Fuente Batta I. Idiopathic congenital Horner Syndrome. Presentation of a case. J.ophthalmol. (Ukraine) [Internet]. 2023 Sep. 4 [cited 2024 Dec. 20];(4):79-80. Available from: https://ua.ozhurnal.com/index.php/files/article/view/71

Most read articles by the same author(s)