| Reversible Horner's syndrome and dysthyroid ocular myopathy associated with Hashimoto's disease. | |
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MedLine Citation:
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PMID: 14636849 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Although it has been frequently stated that thyroid disease induces Horner's syndrome, there have been few reports describing the anatomical relation of goiter to the cervical preganglionic sympathetic nerve fibers in acquired Horner's syndrome, which is identified by the eye-drop test for adrenergic sensitivity. CASE: A 40-year-old woman with Hashimoto's disease presented with vertical diplopia, and blepharoptosis and miosis on the left side. OBSERVATIONS: Computed tomography scan showed hypertrophy of the right inferior rectus muscle, which resulted from a dysthyroid process, causing the limitation of upward movement of the right eye. The eye-drop test for adrenergic sensitivity revealed that only the left pupil dilated significantly after administration of 5% tyramine, and the Mueller's muscle on the left side did not respond. These results suggest that Horner's syndrome was due to a preganglionic sympathetic lesion. Magnetic resonance imaging (MRI) of the neck showed chronic inflammatory lesions in both lobes of the thyroid gland identified by a high-intensity signal. CONCLUSION: The reconstruction technique of MRI demonstrated that the swollen left lobe of the thyroid gland was compressing the pathway of the cervical preganglionic sympathetic nerve fibers. |
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Authors:
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Tamami Okamoto; Manabu Kase; Masahiko Yokoi; Yasuo Suzuki |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Japanese journal of ophthalmology Volume: 47 ISSN: 0021-5155 ISO Abbreviation: Jpn. J. Ophthalmol. Publication Date: 2003 Nov-Dec |
Date Detail:
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Created Date: 2003-11-25 Completed Date: 2004-02-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0044652 Medline TA: Jpn J Ophthalmol Country: Japan |
Other Details:
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Languages: eng Pagination: 587-90 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Teine Keijin-kai Hospital, Sapporo, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anisocoria / etiology Blepharoptosis / etiology Diplopia / etiology Female Horner Syndrome / complications*, physiopathology* Humans Magnetic Resonance Imaging Muscular Diseases / etiology*, physiopathology, radiography Oculomotor Muscles* / radiography Recovery of Function Thyroiditis, Autoimmune / diagnosis, etiology* Tomography, X-Ray Computed |
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