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Horner syndrome: clinical perspectives

Authors Kanagalingam S, Miller N

Received 15 January 2015

Accepted for publication 4 February 2015

Published 10 April 2015 Volume 2015:7 Pages 35—46

DOI https://doi.org/10.2147/EB.S63633

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Margaret Wong-Riley

Sivashakthi Kanagalingam,1–3 Neil R Miller1–3

1Department of Ophthalmology, 2Department of Neurology, 3Department of Neurosurgery, The Johns Hopkins Hospital, Baltimore, MD, USA

Abstract: Horner syndrome consists of unilateral ptosis, an ipsilateral miotic but normally reactive pupil, and in some cases, ipsilateral facial anhidrosis, all resulting from damage to the ipsilateral oculosympathetic pathway. Herein, we review the clinical signs and symptoms that can aid in the diagnosis and localization of a Horner syndrome as well as the causes of the condition. We emphasize that pharmacologic testing can confirm its presence and direct further testing and management.

Keywords: Horner syndrome, oculosympathoparesis, anisocoria, ptosis, anhidrosis

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