Skip to main content

Horner Syndrome

Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Horner syndrome is a constellation of neurological signs and symptoms manifested as a classic triad of ipsilateral miosis, eyelid ptosis, and anhidrosis of the ipsilateral face and/o...

DIAGNOSIS

HISTORY

  • When did symptoms begin? (Acute vs. chronic)?

  • Any visual symptoms? (Blurred vision, field loss, transient visual loss, diplopia)

  • Previous ophthalmic history? (Eye trauma, surgery, etc)

  • A...

TREATMENT

GENERAL MEASURES

  • Treatment generally revolves around addressing any underlying etiologies.

  • Once life-threatening etiologies have been excluded, cosmesis or functional vision impairment due to ...

ONGOING CARE

PROGNOSIS

  • Postganglionic: usually benign

  • Central and preganglionic: poorer prognosis

COMPLICATIONS

  • Chronic pupillary constriction

  • Cosmesis

REFERENCES

1
Chen Y, Morgan ML, Barros Palau AE, et al. Evaluation and neuroimaging of the Horner syndrome. Can J Ophthalmol. 2015 Apr;50(2):107-111. 
2
Antonio-Santos  AA, Santo  ...

ADDITIONAL READING

  • Lyrer  PA, Brandt  T, Metso  TM, et al. Clinical import of Horner syndrome in internal carotid and vertebral artery dissection. Neurology.  2014; 82(...

CODES

ICD10

  • G90.2 Horner’s syndrome

  • S14.5XXA Injury of cervical sympathetic nerves, initial encounter

SNOMED

  • 12731000 Cervical sympathetic dystrophy (disorder)

  • 271730003 Horner’s syndrome pupil

  • 212239002 Ce...

CLINICAL PEARLS

  • Horner syndrome triad: ipsilateral miosis, eyelid ptosis, and anhidrosis caused by a lesion of the oculosympathetic pathway

  • Red Flag: Horner syndrome in the presence of acute-onset, ips...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×