Wednesday, March 12, 2008
Bernard-Horneer's syndrome
Overview said, Horner's syndrome; Cervical sympathetic nervous system paralysis syndrome. Cause pathogenesis sympathetic pathway involved in any part of this levy may arise. Common due to inflammation, trauma, surgery, oncology, thrombosis or other aneurysms. Syphilitic heart disease due to the aortic aneurysm oppression sympathetic trunk appear. Clinical manifestations Miosis, ptosis, enophthalmos, eyes lowered and ipsilateral facial sweat-free and higher temperatures lacrimal gland secretion increase or decrease. The levy occurred in children often iris pigment loss. Differential diagnosis (1) acute spinal cord's Trans-damage can cause violent death, survivors limbs were tense complete paralysis. Respiratory urgent and Horner's syndrome. (2) 8 cervical spinal cord of a trans-thoracic injury, there may be a small hand muscles (bone interosseous muscle) are declining, claw hand, and Honer's syndrome. (3) associated with the shoulder and arm pain Horner's integrated as possible on the apical groove cause cancer. (4) the chest artery aneurysm appeared Horner's syndrome, patients with neck, shoulder, upper chest pain, dry cough, sexual hoarseness, tracheal shift. (5) Villaret syndrome include this levy and post-cranial nerve palsy. (6) Raeder's syndrome that is on migraine attack after Horner's syndrome. Festival for a half months near sympathetic damage caused. (7) Garcin's syndrome nuclear-lateral hypothalamic lesions caused side before, In addition to Horner's syndrome, there are side ataxia, sensory dysfunction and vertical gaze palsy. (8) Horner's syndrome is also found in the thyroid surgeries, after tonsillectomy. children with acute otitis media, the posterior inferior cerebellar artery occlusion (Wallenberg's syndrome), Avellis's syndrome, Babinsik - Nageotte's syndrome.
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