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Horner’s syndrome: Treatment, symptoms, advice and help

About Horner’s syndrome

Horner’s syndrome is a seldom encountered disorder affecting the sympathetic nerves in neck which transmit signals from brain to eyes and face. Interruption of these signals results in a triad of symptoms affecting only one side of face.

Horner’s syndrome: Incidence, age and sex

Horner’s syndrome is a disorder rarely encountered in general population. It may occur in an individual at any age. No gender predilection has yet been noted.

Signs and symptoms of Horner’s syndrome: Diagnosis

The clinical features of Horner’s syndrome are typical and include a triad of symptoms affecting one side of the face. The triad of symptoms are reduced sweating (anhidrosis), drooping of upper eyelid (ptosis) and constriction of pupil (miosis).

Clinical evaluation of the affected individual is usually sufficient to detect the condition. A detailed eye and neurological examination may help in corroborating the diagnosis. Investigations like cerebral angiogram, CT scan of chest, CT scan of brain and lumbar puncture may be done to evaluate the cause of Horner’s syndrome.

Causes and prevention of Horner’s syndrome

Horner’s syndrome is a neurological disorder, which results from disruption in the nerve fibres running from the brain to the face and the eyes. There are various causes which may result in this condition. Such causes include stroke, brain tumour, migraine, cluster headache thyroid enlargement, aortic aneurysm and cancer of lungs.

Horner’s syndrome: Complications

Horner’s syndrome per se, does not lead to any complication but the causative factors may result in serious concerns.

Horner’s syndrome: Treatment

A multi-disciplinary approach to Horner’s syndrome is needed to adequately evaluate the underlying causative disease and subsequently managing it. Management of the underlying cause may resolve this syndrome in most individuals.