Royal Australasian College of Physicians Examinations/Resources/Clinical Exam/Short Cases/Example Cases/Horner's Syndrome

Horner's Syndrome Key features ptosis miosis enophthalmosis anhydrosis Associated with descending fibre palsy lateral medullary syndrome (+ nystagmus) ipsilateral V pinprick, IX, X, XII palsy + contralateral pinprick on body ganglion eg Pancoast's tumour, trauma, other chest lesion ascending fibres carotid dissection, canvernous sinus lesion Example Presentation This patient has features of a left Horner's syndrome – with anhydrosis, miosis and enophthalmposis with an ipsilateral lateral medullary syndrome, evidenced by left Vth nerve anaesthesia, left tongue and palate weakness with an absent gag. There is associated nystamus and cerebellar signs in the left upper limb and loss of pinprick sensation on the right. Back to Example Cases Back to Neurology Back to Main Index