title: Horner's syndrome after blunt cervical and chest trauma: case report.
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: Hospital das Clínicas, University of São Paulo, Rua Ovidio Pires de Campos 171/511, São Paulo, SP, Brazil. wellingsonpaiva@hotmail.com
authors: Wellingson Silva
authors: WS
authors: Paiva
authors: Robson Luis Oliveira
authors: RL
authors: De Amorim
authors: Wagner Malago
authors: WM
authors: Tavares
authors: Eduardo Joaquim Lopes
authors: EJ
authors: Alho
authors: Brasil Ping
authors: BP
authors: Jeng
authors: Eberval Gadelha
authors: EG
authors: Figueiredo
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D005500:Follow-Up Studies; D006732:Horner Syndrome / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D013898:Thoracic Injuries / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications*