Last modified on 20 July 2009, at 17:48

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

Horner's SyndromeEdit

Key featuresEdit

  • ptosis
  • miosis
  • enophthalmosis
  • anhydrosis

Associated withEdit

  • 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 PresentationEdit

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