| Painful isolated Horner's syndrome caused by pontine ischaemia. | |
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MedLine Citation:
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PMID: 14648136 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To alert ophthalmologists to the possibility of brainstem ischaemia in patients with isolated Horner's syndrome. DESIGN: Observational case report. METHODS: Neuro-ophthalmological and neuroimaging assessment of a 59-year-old woman presenting with an isolated Horner's syndrome after an episode of headache. RESULTS: Horner's syndrome was pharmacologically localised to a first- or second-order sympathetic neuron on the right. Magnetic resonance imaging (MRI) showed a small ischaemic lesion at the transition between pons and midbrain, lateral to the anterolateral system involving the sympathetic tract on the right side. CONCLUSION: An isolated Horner's syndrome may be the presenting sign of a brainstem infarction. This case report stresses the importance of a rational approach to Horner's syndrome and the need to order accurate MRI. |
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Authors:
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Luc Crevits; Katharina D'Herde; Karel Deblaere |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2003-11-28 |
Journal Detail:
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Title: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie Volume: 242 ISSN: 0721-832X ISO Abbreviation: Graefes Arch. Clin. Exp. Ophthalmol. Publication Date: 2004 Feb |
Date Detail:
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Created Date: 2004-03-01 Completed Date: 2004-04-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8205248 Medline TA: Graefes Arch Clin Exp Ophthalmol Country: Germany |
Other Details:
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Languages: eng Pagination: 181-3 Citation Subset: IM |
Affiliation:
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Department of Neurology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium. luc.crevits@ugent.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brain Ischemia
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complications*,
diagnosis Brain Stem / pathology* Female Headache / complications Horner Syndrome / etiology* Humans Magnetic Resonance Imaging Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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