Claude Bernard Horner Syndrome-Case Presentation

Abstract

Introduction: The syndrome Claude Bernard-Horner (SH) is characterized by eyelid ptosis, pupillary miosis and anhidrosis, it is due to an interruption of the oculosympathetic pathway. The etiologies are multiple, including tumor, traumatic, iatrogenic or vascular. Sometimes it represents a medical emergency. For its diagnosis, eye drop tests are used, such as cocaine, hydroxyamphetamine or apraclonidine, and neuroimaging tests to establish the etiology. We present a case of HS associated with Hodkin Lymphoma (HL). Objective: Describe the clinical characteristics and the imaging study in a case with SH. Presentation of the case. A 24-year-old patient, with a clinical and histopathological diagnosis of HL, the tumor occupies the anterior mediastinum with lymphadenopathy in both supra and infraclavicular side chains of the neck, predominantly right. He presented with ptosis, miosis, and apparent enophthalmos. The diagnosis was based on clinical examination and pupillometry, in addition to images obtained by computed tomography (CT). Conclusions: The usefulness of the neuro-ophthalmological and imaging clinical examination in the identification of HS in this patient was demonstrated.