Horner’s syndrome: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Horner’s syndrome: clinical features. Idiopathic: this accounts for 40% of cases. Fully referenced neurology checklist.

Central causes

  • Idiopathic: this accounts for 40% of cases
  • Cervical artery dissection (painful Horner's)
  • Lateral medullary syndrome
  • Tumours
  • Haemorrhage
  • Demyelination

Preganglionic causes

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Postganglionic causes

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Clinical features: anhidrosis

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Clinical features: others

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Assessment

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References

  1. Lee JH, Lee HK, Lee DH, Choi CG, Kim SJ, Suh DC. Neuroimaging strategies for three types of Horner's syndrome with emphasis on anatomic location. Am J Roentgenol 2007; 188:W74-W81.
  2. Maloney WF, Younge BR, Moyer NJ. Evaluation of the causes and accuracy of pharmacologic localization in Horner's syndrome. Am J Ophthalmol 1980; 90:394-402.
  3. Perkin GD. Neuro-ophthalmological syndromes for neurologists. JNNP 2004; 75(Suppl IV):iv20-iv23.
  4. Kerrison JB, Biousse V, Newman NJ. Isolated Horner's syndrome and syringomyelia. JNNP 2000; 69:131-132.
  5. Morrison C, Seifter A, Aucott JN. Unusual presentation of Lyme disease: Horner syndrome with negative serology. J Am Board Fam Med 2009; 22:219-222.
  6. And 6 more. Subscribe to see the full list

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