Isolated Horner's syndrome and syringomyelia.
Although syringomyelia has been associated with Horner's syndrome, it is typically associated with other neurological findings such as upper limb weakness or numbness. A patient is described who had an isolated Horner's syndrome as the only manifestation of syringomyelia. A 76 year old woman was discovered to have right upper lid ptosis and right pupillary miosis. Neurological examination was unremarkable, and pharmacological testing was consistent with localisation of the lesion to a first or second order sympathetic neuron. Neuroimaging disclosed a Chiari I malformation with a syrinx extending to the C2 to C4 level. An isolated Horner's syndrome may be the presenting manifestation of syringomyelia.
Kerrison
J B
JB
Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Biousse
V
V
Newman
N J
NJ
D000368:Aged; D001139:Arnold-Chiari Malformation / Q000175:diagnosis; D002574:Cervical Vertebrae / Q000473:pathology; D005260:Female; D006732:Horner Syndrome / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D013116:Spinal Cord / Q000473:pathology; D013595:Syringomyelia / Q000175:diagnosis*