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Horner's syndrome in children
G Woodruff1, J R Buncic, J D Morin
1Department of Ophthalmology, Hospital for Sick Children, Toronto, Ontario, Canada.
Journal of Pediatric Ophthalmology and Strabismus
|January 1, 1988
Summary
This study reviewed ten pediatric Horner's syndrome cases, finding no classical brachial plexus injury. Several cases were linked to neuroblastoma, surgery, or congenital issues, with some idiopathic causes.
Area of Science:
- Ophthalmology
- Pediatric Neurology
- Medical Imaging
Background:
- Horner's syndrome in children presents diagnostic challenges.
- Understanding the etiology is crucial for timely intervention and prognosis.
- Pharmacologic testing and neuroimaging are key diagnostic tools.
Observation:
- Ten pediatric patients (up to age 8) with Horner's syndrome were evaluated.
- Clinical assessments included iris color and facial sweating.
- Computed tomography scans and pharmacologic testing were performed.
Findings:
- No cases of classical preganglionic Horner's syndrome linked to brachial plexus birth injury were identified.
- Two patients with ptosis (drooping eyelid) were diagnosed with neuroblastoma.
- Other identified causes included cardiothoracic surgery (2 patients) and major congenital abnormalities (2 patients).
- Four cases remained idiopathic, with no determined cause.
Implications:
- Highlights the diverse and sometimes unexpected causes of pediatric Horner's syndrome.
- Emphasizes the importance of thorough investigation beyond birth-related injuries.
- Suggests neuroblastoma and congenital anomalies as significant considerations in pediatric ptosis evaluation.