Horner's syndrome after blunt cervical and chest trauma: case report

Arquivos de Neuro-Psiquiatria

Wellingson Silva Paiva²  Robson Luis Oliveira De Amorim²  Wagner Malago Tavares²  Eduardo Joaquim Lopes Alho²  Brasil Ping Jeng²  Eberval Gadelha Figueiredo¹ 

[1] ,University of São Paulo Hospital das Clínicas São Paulo SP ,Brazil

关键词: Horner syndrome;    trauma;    etiology;    síndrome de Horner;    trauma;    etiologia;   

DOI  :  10.1590/S0004-282X2007000600026

来源: SciELO

【 摘 要 】

Horner‘s syndrome is the triad of miosis, ptosis, and anhidrosis, resulting from disruption of the sympathetic pathways. This article describes an uncommon case of Horner‘s syndrome in a 22-year-old man after blunt trauma to the neck and chest without carotid artery dissection. The patient was brought to the emergency service after motorcycle fall. Neurologic examination revealed a patient presenting the score 15 at Glasgow Coma Scale. The left eyelid was 1-2 mm lower than the right. Carotid Doppler and angiotomography were undertaken and revealed no abnormalities of the carotid artery. CT disclosed a mediastinal hematoma extending to the left apex, compressing the left sympathetic chain. The understanding of this clinical entity may help the surgeon to make a better differential diagnosis in trauma patients in whom prompt diagnosis is critical to stablish the correct treatment.

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