Homer's Syndrome Research Articles

Subclavian Perivascular Block

Subclavian perivascular block of the brachial plexus was used in 156 adult patients undergoing orthopedic hand and forearm surgery. The location of the elicited paresthesia prior to deposition of 30 ml of a solution containing 1% mepivacaine, 0.2% tetracaine and 1.200,000 epinephrine was recorded. Twenty minutes later the quality of the block in the distribution of the superior, middle and inferior trunks of the brachial plexus was evaluated. Anesthesia in each of the three trunks was compared with the three sites where the paresthesia was elicited (superior, middle, or inferior trunk). A middle trunk paresthesia was the most successful in producing surgical anesthesia of all three trunks. A superior trunk paresthesia was the paresthesia most often elicited. It resulted in a significantly lower incidence of inferior trunk anesthesia than did a middle or inferior trunk paresthesia. Complications included arterial puncture (25.6%), Horner's syndrome (64.1%), and recurrent laryngeal nerve block (1.3%), with no instances of symptomatic phrenic block or symptomatic pneumothorax.

Upper dorsal sympathectomy

Over a 20 year period, 60 patients underwent 76 procedures for upper dorsal sympathectomy, usually with a transaxillary approach but occasionally with an anterior approach. Procedures in male patients and in those that were carried out on the right side were most frequent. There were few simultaneous procedures. The extent of sympathectomy included resection of the lower half of the stellate ganglion through the fourth thoracic ganglion. The results were satisfying for patients with vasospastic disorders and hyperhidrosis and quite acceptable for those with causalgia and vaso-occlusive disorders. Complication rates and the incidence of postoperative Homer's syndrome were low. There were prominent differences in results among the various age groups. In addition, female patients and those with bilateral procedures had less favorable results. Factors that did not appear to affect results included technique of surgical approach, extent of sympathectomy, presence of Horner's syndrome, or the addition of other procedures. Current indications for upper dorsal sympathectomy include cases of Raynaud's and Buerger's diseases refractory to drug therapy, causalgia, vasoocclusive disorders, and hyperhidrosis.

Homer's syndrome: An unusual presentation of Hodgkin's disease

Horner's Syndrome (ptosis, anisocoria, and anhydrosis) developed in a 22-year-old woman. A mediastinal mass was noted on chest x-ray. Further evaluation led to a diagnosis of Hodgkin's disease, nodular sclerosis type. Horner's syndrome is an unusual initial manifestation of Hodgkin's disease, and, in this case, it was due to oculosympathetic damage from mediastinal compression. Because the potential for cure is high in Hodgkin's disease, this diagnosis should be considered in patients presenting with Horner's syndrome.

The incidence of Homer's syndrome during lumbar extradural for elective Caesarean section and provision of analgesia during labour

One hundred and fifty women in labour provided with extradural analgesia were monitored and an incidence of Horner's syndrome of 1.33% was noted. Fifty women undergoing Caesarean section under extradural analgesia were also monitored and an incidence of Horner's syndrome of 4% was noted. From the results we found it impossible to predict which patients would develop a Horner's syndrome.

Homer's syndrome, bilateral sensory motor trigeminal and other cranial neuropathies in a patient with sarcoidosis

Presentation of an unusual case of sarcoidosis causing Homer's syndrome with multiple cranial neuropathies including bilateral sensorimotor trigeminal and spinal accessory neuropathies. Other neurologic manifestations included bilateral hypoglossal neuropathies and a thoracic myelopathy with a normal myelogram. A CT scan showing enhancing calcifications in the basal cisterns is compared with those described in the literature.

Horner syndrome with causalgia

A previously healthy man presented with burning pain in the chest wall and arm; there was Horner syndrome on the same side. After extensive investigation, the disorder was attributed to a foraminal osteophyte involving the left T1 spinal root.

Heterochromia and horner syndrome associated with cervical and mediastinal neuroblastoma

Index patient. O. H. was referred to the Sidney Farber Cancer Center and Children's Hospital Medical Center at the age of 15 months~ Two months prior to admission, his parents noted a nontender, nonpainful mass, approximately 1 cm in diameter, in the left side of the neck. A biopsy revealed the presence of metastatic neuroblastoma to the left cervical nodes, and a mass ,with stippled calcification in the left supramediastinal area was demonstrated by chest radiograph. The patient was born with a congenital left Homer syndrome which gradually improved as he grew older. Concurrently,

HORNER'S SYNDROME OCCURRING WITH SPONTANEOUS PNEUMOTHORAX.

INTERRUPTION of the sympathetic pathways anywhere in their course from the hypothalamus to the ocular orbit results in Homer's syndrome and is manifested by homolateral miosis, ptosis of the upper ...

Diagnostic value of Horner's syndrome in thrombosis of the carotid artery.

Diagnostic value of Horner's syndrome in thrombosis of the carotid artery.

Transitory Occurrence of Homer's Syndrome after Paratonsillar Anaæsthetization for Tonsillectomy

Transitory Occurrence of Homer's Syndrome after Paratonsillar Anaæsthetization for Tonsillectomy

HORNER'S SYNDROME

The symptom complex known as Homer's syndrome is seen in association with a variety of conditions. It is frequently an important finding in cases of involvement of the nervous system. The syndrome was first described clinically by Horner 1 in 1869, and he recognized that the phenomenon was secondary to paralysis of the nerves of the cervical portion of the sympathetic system. The patient in Horner's case exhibited miosis, partial ptosis, enophthalmos and changes in the vasomotor and sudorific activity of the face. These are the clinical findings usually seen in patients who show the complete syndrome of involvement of the cervical portion of the sympathetic system. Previous to the publication of Horner's observations experimental work had been done on the autonomic nervous system. 2 In 1727 Petit noted retraction of the eyeball, narrowing of the palpebral fissure and relaxation of the nictitating membrane following section of the vagosympathetic nerve