6533b85dfe1ef96bd12bdd64

RESEARCH PRODUCT

Intermittent Horner's syndrome on alternate sides: a hint for locating spinal lesions.

H. C. Hopf

subject

EpendymomaAdultAtropineMalemedicine.medical_specialtySympathetic nervous systemPathologyNeurologyHorner SyndromeSympathetic Nervous SystemEpinephrineAutonomic Fibers PreganglionicSpinal Cord NeoplasmHorner syndromeReflex PupillaryLesionCocaineMedicineHumansSpinal Cord Neoplasmsbusiness.industrymedicine.diseaseSpinal cordmedicine.anatomical_structureNeurologyEpendymomaCiliospinal reflexNeurology (clinical)medicine.symptombusiness

description

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.

10.1007/bf00313353https://pubmed.ncbi.nlm.nih.gov/6160219