| Diagnostic value of imaging in horner syndrome in adults. | |
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MedLine Citation:
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PMID: 20182199 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The yield of imaging in Horner syndrome has been explored only in children. This study evaluates the yield of imaging in adults. METHODS: This was a retrospective cohort study of 52 patients with Horner syndrome examined in 2 neuro-ophthalmology hospital clinics. Patients were divided into 3 groups according to the ability to determine the etiology at the time of the first neuro-ophthalmology consultation: group I, etiology of Horner syndrome known at the initial neuro-ophthalmologic examination; group II, etiology of Horner syndrome not known at the initial neuro-ophthalmologic examination, but sufficient information obtained to allow targeted imaging; and group III, etiology of Horner syndrome not known at the initial neuro-ophthalmologic examination, and sufficient information not obtained to allow targeted imaging. The yield of investigation and the frequency of the different etiologies were evaluated. RESULTS: In 32 (62%) patients, the etiology was already known at the initial neuro-ophthalmologic examination (group I). The most prevalent etiology was surgical trauma. In 11 (21%) patients, a targeted imaging workup was possible, revealing an etiology in 7 patients (group II). Carotid dissection and cavernous sinus mass were the most common etiologies. In 9 (17%) patients, a nontargeted imaging evaluation was necessary, revealing an etiology in only 1 patient, who had a previously undetected thyroid malignancy (group III). CONCLUSIONS: The etiology of Horner syndrome is usually known at the time of initial presentation to a neuro-ophthalmologist. When the etiology is not known and clinical information permits a targeted imaging evaluation, an etiology can usually be determined, most commonly a cervical carotid artery dissection or a cavernous sinus mass. When the etiology is not known and clinical information is insufficient to allow a targeted imaging evaluation, an etiology is rarely discovered. Even so, nontargeted imaging is warranted because life-threatening lesions, such as thyroid malignancies, may rarely be detected. |
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Authors:
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Yehoshua Almog; Raz Gepstein; Anat Kesler |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society Volume: 30 ISSN: 1536-5166 ISO Abbreviation: J Neuroophthalmol Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-25 Completed Date: 2010-05-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9431308 Medline TA: J Neuroophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 7-11 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Meir Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. shuky.almog@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Cohort Studies Diagnostic Imaging / methods* Female Horner Syndrome / classification*, diagnosis*, etiology Humans Magnetic Resonance Imaging / methods Male Middle Aged Retrospective Studies Tomography, X-Ray Computed / methods Young Adult |
| Comments/Corrections | |
Comment In:
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J Neuroophthalmol. 2010 Mar;30(1):1-2
[PMID:
20182196
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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