6533b85dfe1ef96bd12bdd64
RESEARCH PRODUCT
Intermittent Horner's syndrome on alternate sides: a hint for locating spinal lesions.
H. C. Hopfsubject
EpendymomaAdultAtropineMalemedicine.medical_specialtySympathetic nervous systemPathologyNeurologyHorner SyndromeSympathetic Nervous SystemEpinephrineAutonomic Fibers PreganglionicSpinal Cord NeoplasmHorner syndromeReflex PupillaryLesionCocaineMedicineHumansSpinal Cord Neoplasmsbusiness.industrymedicine.diseaseSpinal cordmedicine.anatomical_structureNeurologyEpendymomaCiliospinal reflexNeurology (clinical)medicine.symptombusinessdescription
A patient with a cervical intramedullary ependymoma is described who exhibited a Horner's syndrome on alternate sides. Pharmacological study demonstrated damage to the pre-ganglionic sympathetic neurons. Disregarding cases with the Shy-Drager syndrome, three comparable case reports have been found in the literature where the fluctuating expression of Horner's syndrome, alternating from one side to the other, was attributable to a lesion of the cervical spinal cord. In contrast to the present patient, the pharmacological responses of these patients indicated a lesion of the central sympathetic pathway.
year | journal | country | edition | language |
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1980-10-01 | Journal of neurology |