2,688 results match your criteria Horner Syndrome


The Clinical Features of Dissection of the Cervical Brain-Supplying Arteries.

Dtsch Arztebl Int 2022 09 5(Forthcoming). Epub 2022 Sep 5.

Background: Dissections of the cervical brain-supplying arteries are a leading cause of ischemic stroke in young adults, with an annual incidence of 2.5-3 / 100 000 for carotid artery dissection and 1-1.5 / 100 000 for vertebral artery dissection. Read More

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September 2022

[The long-term efficacy of left cardiac sympathetic denervation in long QT syndrome].

Zhonghua Xin Xue Guan Bing Za Zhi 2022 Jun;50(6):556-562

Department of Cardiology, Peking University People's Hospital, Beijing 100044, China.

To investigate the long-term efficacy and safety of left cardiac sympathetic denervation(LCSD) for long QT syndrome(LQTS) patients with either recurrence on drug therapy intolerance/refusal. This study was a retrospective cohort study. The cases selected from 193 patients with LQTS who were enrolled in the Chinese Channelopathy Registry Study from November 1999 to November 2012. Read More

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Diagnostic yield of CT angiography performed for suspected cervical artery dissection in the emergency department.

Emerg Radiol 2022 May 30. Epub 2022 May 30.

Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, WCB90, USA.

Background And Purpose: Computed tomography angiographies are frequently performed in the emergency department (ED) for the assessment of cervical artery dissection (CeAD) due to the high risk of associated morbidity, but their diagnostic utility is not fully evaluated. We assessed the radiological outcomes and clinical correlates of CTAs performed for suspected CeAD.

Materials And Methods: CTAs for all indications (Indication) over a 10-year period were evaluated to identify those with CeAD. Read More

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Acute Horner syndrome secondary to glandular fever due to Epstein Barr virus infection.

Arch Soc Esp Oftalmol (Engl Ed) 2022 May 11;97(5):281-285. Epub 2022 Mar 11.

Departamento de Oftalmología, Hospital Clínico Universitario de Valencia, Valencia, Spain; Departamento de Oftalmología, Facultad de Medicina, Universidad de Valencia, Valencia, Spain.

We present a clinical situation where a 47-year old female patient consulted with left partial ptosis and miosis that started, two weeks before, with an episode of glandular fever secondary to Epstein-Barr infection. Apraclonidine 0.5% and Phenylephrine 1% drop testing was performed with results consistent with suspected left Horner Syndrome (HS), with a probable postganglionic location. Read More

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Horner Syndrome in Giant Cell Arteritis: Case Series and Review of the Literature.

J Neuroophthalmol 2022 Mar 25. Epub 2022 Mar 25.

University of Toronto, Faculty of Medicine (IS), Toronto, Ontario, Canada; Department of Ophthalmology and Vision Sciences (CL, LD, EM), University of Toronto, Faculty of Medicine, Toronto, Ontario, Canada; and Department of Medicine (EM), Division of Neurology, University of Toronto, Faculty of Medicine, Toronto, Ontario, Canada.

Background: Giant cell arteritis (GCA) is a systemic inflammatory vasculitis that affects medium- and large-sized arteries and can result in permanent vision loss. In rare instances, Horner syndrome has been noticed at the time of GCA diagnosis, although the mechanism of both diagnoses occurring at the same time is not entirely understood. We reviewed 53 charts of all patients diagnosed with biopsy-proven GCA in tertiary neuro-ophthalmology practice to find patients who presented with new onset of Horner syndrome at the time of GCA diagnosis. Read More

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Craniocervical Artery Dissections: A Concise Review for Clinicians.

Mayo Clin Proc 2022 04;97(4):777-783

Department of Neurosurgery, Mayo Clinic, Rochester, MN.

Craniocervical artery dissection (CAD), although uncommon, can affect the young and lead to devastating complications, including stroke and subarachnoid hemorrhage. It starts with a tear in the intima of a vessel with subsequent formation of an intramural hematoma. Most CAD occurs spontaneously or after minor trauma. Read More

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Redo surgery for neurogenic thoracic outlet syndrome is useful.

J Vasc Surg 2022 Mar 31. Epub 2022 Mar 31.

Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands; CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands. Electronic address:

Objectives: Surgery for neurogenic thoracic outlet syndrome (NTOS) has shown good outcome in numerous case series. However, 5% to 30% of patients will have persistent or recurrent symptoms, caused by incomplete first rib resection, reattachment of residual scalene muscle, fibrous scarring around the brachial plexus, or a wrong NTOS diagnosis. In patients with a sound diagnosis of recurrent or persisting NTOS, not responding to conservative measures, a secondary procedure can be considered. Read More

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Transoral ventral tympanic bulla osteotomy in cats: 13 cases (2016-2019).

J Am Vet Med Assoc 2022 04 28;260(8):892-898. Epub 2022 Apr 28.

1Surgery Department, VetAgroSup Veterinary Campus, Marcy l'Etoile, France.

Objective: To analyze the results of transoral ventral bulla osteotomy (TOVBO) in cats.

Animals: 13 client-owned cats treated by TOVBO between February 2016 and February 2019.

Procedures: Medical records of cats with a diagnosis of middle ear disease (MED) that underwent TOVBO were reviewed. Read More

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Simultaneous and Sequential Development of Sixth Nerve Palsy and Horner's Syndrome from Carotid Cavernous Sinus Fistulas.

Case Rep Ophthalmol 2022 Jan-Apr;13(1):37-43. Epub 2022 Feb 7.

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.

The combination of ipsilateral sixth nerve palsy (6NP) and Horner's syndrome (Horner's) is a localizing sign of an injury to the posterior cavernous sinus. The presentation and clinical course of 3 patients presenting with coexisting ipsilateral 6NP and Horner's as a result of carotid cavernous sinus fistulas (CCFs) are discussed in this case series. We highlight these cases to show the possible sequence of events: (i) simultaneous discovery of 6NP and Horner's, (ii) 6NP followed by Horner's, and (iii) Horner's followed by 6NP. Read More

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February 2022

Journal update monthly top five.

Emerg Med J 2022 04;39(4):339-340

Emergency Department, Salford Royal NHS Foundation Trust, Salford, UK.

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Alimentary tract duplications in children - a 15 years' experience.

Rom J Morphol Embryol 2021 Jul-Sep;62(3):751-756

Discipline of Physiology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania;

Duplications of the alimentary tract are a diverse and complex spectrum of congenital malformations and can be found anywhere along the digestive tract. The management depends on multiple factors, such as age, location, size, macroscopic aspect, and the associated anomalies. This study reflects a 15-year single surgical team experience. Read More

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Bilateral cholesterol granulomas in the middle ear cavities of a cat with sinonasal disease successfully removed via video-otoscopy.

J Am Vet Med Assoc 2022 Mar 8:1-4. Epub 2022 Mar 8.

Department for Companion Animals and Horses, Clinical Unit of Small Animals Internal Medicine, Dermatology, University of Veterinary Medicine, Vienna, Austria.

Case Description: A 9-year-old spayed female Maine Coon cat was presented at the University of Veterinary Medicine Vienna for further investigation of chronic nonpruritic bilateral ear disease and unilateral Horner syndrome.

Clinical Findings: Physical examination and otoscopy findings included right sided Horner syndrome, a right head tilt of approximately 20° and a small pink nodule in the right and several smaller nodules in the left proximal horizontal external ear canal. Computed tomography and magnetic resonance imaging revealed soft tissue opacity material in both middle ear cavities, the caudal portion of the nasal cavity, the left nasopharyngeal meatus and the right frontal sinus. Read More

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Reconstruction for Symptomatic Vertebral Artery Lesion Using Vertebral Artery to Carotid Artery Transposition: A Retrospective Study.

Ann Vasc Surg 2022 Mar 4. Epub 2022 Mar 4.

Department of Vascular and Endovascular Surgery University Hospital of Duesseldorf, Duesseldorf, Germany.

Background: A posterior circulation infarction is caused by a vertebral artery (VA) lesion (stenosis or occlusion). The purpose of this study is to assess early and long-term outcomes after open surgery for a VA lesion at the origin.

Methods: In a retrospective study conducted from January 1, 2000 through March 31, 2020 in a single center, patients were treated with vertebral artery to carotid artery transposition (VCT). Read More

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Serologic and Cytokine Signatures in Children With Multisystem Inflammatory Syndrome and Coronavirus Disease 2019.

Open Forum Infect Dis 2022 Mar 24;9(3):ofac070. Epub 2022 Feb 24.

Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.

Background: The serologic and cytokine responses of children hospitalized with multisystem inflammatory syndrome (MIS-C) vs coronavirus disease 2019 (COVID-19) are poorly understood.

Methods: We performed a prospective, multicenter, cross-sectional study of hospitalized children who met the Centers for Disease Control and Prevention case definition for MIS-C (n = 118), acute COVID-19 (n = 88), or contemporaneous healthy controls (n = 24). We measured severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike receptor-binding domain (RBD) immunoglobulin G (IgG) titers and cytokine concentrations in patients and performed multivariable analysis to determine cytokine signatures associated with MIS-C. Read More

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Horner Syndrome With a Positive Harlequin Sign in an Adolescent Male.

J Neuroophthalmol 2022 Feb 25. Epub 2022 Feb 25.

College of Medicine (MDT), University of Saskatchewan, Saskatoon, Canada; and Division of Ophthalmology (LOT), Department of Surgery, University of Saskatchewan, Regina, Canada.

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February 2022

The efficacy and safety of high-intensity focused ultrasound in the treatment of benign thyroid nodules: A systematic review and meta-analysis from 1990 to 2021.

Ann Acad Med Singap 2022 02;51(2):101-108

Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Introduction: To date, there have only been 2 systematic reviews, and 1 systematic review and meta-analysis on high-intensity focused ultrasound (HIFU) for benign thyroid nodules. The present systematic review and meta-analysis seeks to evaluate the efficacy and safety of HIFU in the treatment of benign thyroid nodules.

Methods: Pubmed, Embase and Cochrane databases were searched for relevant studies from 1990 to 2021. Read More

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February 2022

Atypical Presentation of Enlarged Vestibular Aqueducts Caused by Variants.

Children (Basel) 2022 Jan 28;9(2). Epub 2022 Jan 28.

Department of Pediatrics, School of Medicine, Kyungpook National University, Daegu 41944, Korea.

Enlarged vestibular aqueduct is the most common inner ear malformation in pediatric patients with sensorineural hearing loss. Here, we report a new presentation of enlarged vestibular aqueduct in a Korean family. The family consists of two parents and five daughters, and the first and second daughters were diagnosed with bilateral enlarged vestibular aqueducts. Read More

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January 2022

Evaluation of pediatric patients presenting with acute-onset unilateral transient acquired blepharoptosis.

Arq Bras Oftalmol 2022 Feb 14. Epub 2022 Feb 14.

Department of Pediatric Hematology and Oncology, Faculty of Medicine, Kahramanmaras Sutcu Imam University Kahramanmaras, Turkey.

Purpose: To evaluate the clinical features of pediatric patients with acute-onset, unilateral transient acquired blepharoptosis.

Methods: In this retrospective study, the clinical records of patients between April 2015 and June 2020 were reviewed for evaluation of demographic features, accompanying neurological and ophthalmologic manifestations, symptom duration, etiological cause, and imaging findings. Patients with congenital and acquired blepharoptosis with chronic etiologies were excluded. Read More

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February 2022

Thunderclap headache syndrome presenting to the emergency department: an international multicentre observational cohort study.

Emerg Med J 2022 Feb 10. Epub 2022 Feb 10.

Emergency Medicine, University Hospital of Tours, Tours, France.

Background: Most headache presentations to emergency departments (ED) have benign causes; however, approximately 10% will have serious pathology. International guidelines recommend that patients describing the onset of headache as 'thunderclap' undergo neuroimaging and further investigation. The association of this feature with serious headache cause is unclear. Read More

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February 2022

Challenging the diagnosis of a posterior circulation dissecting aneurysm.

Neurol Sci 2022 May 8;43(5):3415-3417. Epub 2022 Feb 8.

Department of Neurology, Univ. Lille, Inserm U1172, CHU Lille, Stroke unit, Lille, France.

Introduction: I ntracranial vertebral dissections have polymorphs clinical presentations and can lead to haemorrhagic complications if they are intracranial. We here describe a case of a thrombosed dissecting aneurysm of postero-inferior cerebellar artery (PICA) revealed by a Wallenberg syndrome preceded by headaches.

Case: A 23-year-old patient, without neurological or vascular past medical history, was admitted for dizziness preceded by headache. Read More

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Effects of Stellate Ganglion Block Through Different Approaches Under Guidance of Ultrasound.

Front Surg 2021 17;8:797793. Epub 2022 Jan 17.

Department of Anesthesiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.

Objective: This study aimed to investigate the effects of stellate ganglion block (SGB) through different approaches under guidance of ultrasound.

Methods: A total of 130 patients undergoing SGB in our hospital between February 2019 and February 2020 were enrolled as the research subjects. According to the random number table method, these subjects were divided into two groups: a modified 6th cervical vertebra (C6) group ( = 65) and a 7th cervical vertebra (C7) group ( = 65). Read More

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January 2022

Horner syndrome after cervical spine corticosteroid injection.

Int J Rheum Dis 2022 Apr 31;25(4):501-503. Epub 2022 Jan 31.

Department of Rheumatology, Hôpital Bichat-Claude Bernard, Paris, France.

Horner syndrome is a rare condition caused by a lesion of the sympathetic cervical chain. Multiple cervical disorders are associated with such lesions. Here we report the first case of Horner syndrome after cervical facet joint corticosteroid injection. Read More

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Calcaneocuboid Ligament Complex Reconstruction for Cuboid Syndrome in a 14-Year-Old Athlete: A Case Report.

JBJS Case Connect 2021 10 14;11(4). Epub 2021 Oct 14.

Department of Orthopaedics, University of Missouri School of Medicine, Columbia, Missouri.

Case: This is a case of a 14-year-old female athlete with cuboid syndrome who underwent calcaneocuboid ligament complex reconstruction using a palmaris tendon allograft that was passed through 2 parallel extra-articular dorsoplantar bone tunnels through the calcaneus and cuboid. She returned to high-impact activities within 6 months. Two-and-a-half years postoperative, she continues sports with only minor stints of pain relieved with rest. Read More

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October 2021

Supraclavicular vs. Infraclavicular Brachial Plexus Nerve Blocks: Clinical, Pharmacological, and Anatomical Considerations.

Anesth Pain Med 2021 Oct 31;11(5):e120658. Epub 2021 Oct 31.

Brigham and Women's Hospital, Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston MA, USA.

Peripheral nerve blocks (PNB) have become standard of care for enhanced recovery pathways after surgery. For brachial plexus delivery of anesthesia, both supraclavicular (SC) and infraclavicular (IC) approaches have been shown to require less supplemental anesthesia, are performed more rapidly, have quicker onset time, and have lower rates of complications than other approaches (axillary, interscalene, etc.). Read More

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October 2021

Horner Syndrome Following Intercostal Nerve Block Via an Anterolateral Approach in Breast Lumpectomy: A Prospective Nested Case-control Study.

Pain Physician 2022 Jan;25(1):E55-E65

Department of Anesthesiology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China; Department of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai, China; Department of Anesthesiology, Zhongshan Wusong Hospital Affiliated to Fudan University, Shanghai, China; Fudan Zhangjiang Institute, Shanghai, China; Shanghai Key Laboratory of Perioperative Stress and Protection.

Background: Lumpectomy is important for preventing malignant changes in benign tumors and diagnosing malignant tumors. Intercostal nerve blocks (ICNBs) are useful for breast lumpectomy as either the primary anesthetic or as an adjuvant anesthetic procedure. To our knowledge, no studies have evaluated the association between Horner syndrome and ICNB. Read More

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January 2022

Limited induction of SARS-CoV-2-specific T cell responses in children with multisystem inflammatory syndrome compared with COVID-19.

JCI Insight 2022 02 22;7(4). Epub 2022 Feb 22.

Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.

Why multisystem inflammatory syndrome in children (MIS-C) develops after SARS-CoV-2 infection in a subset of children is unknown. We hypothesized that aberrant virus-specific T cell responses contribute to MIS-C pathogenesis. We quantified SARS-CoV-2-reactive T cells, serologic responses against major viral proteins, and cytokine responses from plasma and peripheral blood mononuclear cells in children with convalescent COVID-19, in children with acute MIS-C, and in healthy controls. Read More

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February 2022

Horner's Syndrome Secondary to Epidural Anesthesia After Scoliosis Correction: A Case Report.

Cureus 2021 Dec 1;13(12):e20071. Epub 2021 Dec 1.

Anesthesiology, Hackensack University Medical Center, Hackensack, USA.

Horner's syndrome is a clinical triad composed of ptosis, miosis, and facial anhidrosis. Overall, this complication is rare but well-documented in the obstetric population receiving labor epidural analgesia, which usually follows a relatively benign transient course. Less commonly, few cases of Horner's syndrome have been reported in the pediatric population following surgical correction of scoliosis with epidural placement. Read More

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December 2021

An Atypical Presentation of Left Lateral Medullary Syndrome - A Case Report.

Neurol India 2021 Nov-Dec;69(6):1831-1834

Department of Internal Medicine, Institute of Neurosciences, Indraprastha Apollo Hospitals, Delhi, India.

Lateral medullary syndrome (LMS), known as Wallenberg's syndrome and posterior inferior cerebellar artery syndrome, is a rare cause of stroke. It often results from thrombosis or emboli of the vertebral artery or posterior inferior cerebellar artery. The triad of Horner's syndrome, ipsilateral ataxia, and ipsilateral hyperalgesia clinically identify patients with LMS. Read More

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January 2022

Horner syndrome following high thoracic erector spinae plane block.

Can J Anaesth 2022 03 13;69(3):400-401. Epub 2021 Dec 13.

Department of Anesthesia, McMaster University, Hamilton, ON, Canada.

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