title: [What would you do in front of a patient with a Horner syndrome?]
abstract: Horner's syndrome (HS) occurs when there is disruption to the oculosympathetic pathway. Its features include eyelid ptosis, miosis and anhidrosis. The aetiology of this syndrome is varied and includes tumours, trauma, vascular disease and iatrogenic. Different pharmacologic tests are used for diagnosis, such as cocaine, hydroxyamphetamine and apraclonidine; while neuroimaging helps elucidating the aetiology. We present a case of a 63-year-old female referred to our service with a 4-month history of right eyelid ptosis. During examination right miosis was noted. The patient reported a history of multinodular goiter. Pharmacologic tests and neuroimaging confirmed the diagnosis of HS secondary to thyroid disease.
authors: Instituto Clínico de Oftalmología, Hospital Clínic, Barcelona, España.
authors: A
authors: A
authors: Camós-Carreras
authors: Servicio de Medicina Familiar y Comunitaria, Hospital Universitario Sagrat Cor, Barcelona, España.
authors: S
authors: S
authors: Fontana
authors: Instituto Clínico de Oftalmología, Hospital Clínic, Barcelona, España. Electronic address: oftalmologia@santiagoortiz.es.
authors: S
authors: S
authors: Ortiz-Pérez
mesh_terms: D001763:Blepharoptosis / Q000209:etiology*; D005260:Female; D006044:Goiter, Nodular / Q000473:pathology; D006732:Horner Syndrome / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D013959:Thyroid Diseases / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging
keywords: Bocio multinodular; Horner; Multinodular goiter; Oculosympathetic pathway; Thyroid; Tiroides; Vía oculosimpática