| Abstract | 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 establish the correct treatment. |
| Authors | Wellingson Silva Paiva, Robson Luis Oliveira De Amorim, Wagner Malago Tavares, Eduardo Joaquim Lopes Alho, Brasil Ping Jeng, Eberval Gadelha Figueiredo
(Affiliation: Hospital das Clínicas, University of São Paulo, Rua Ovidio Pires de Campos 171/511, São Paulo, SP, Brazil. wellingsonpaiva at hotmail.com)
|
| Journal | Arquivos de neuro-psiquiatria
(Arq Neuropsiquiatr)
Vol. 65
Issue 4A
Pg. 1037-9
(Dec 2007)
ISSN: 0004-282X Brazil |
| PMID | 18094873
(Publication Type: Case Reports, Journal Article)
|
| Topics |
- Accidents, Traffic
- Adult
- Follow-Up Studies
- Horner Syndrome
(diagnosis, etiology)
- Humans
- Male
- Thoracic Injuries
(complications)
- Tomography, X-Ray Computed
- Wounds, Nonpenetrating
(complications)
|
