Horner's syndrome after blunt cervical and chest trauma: case report

Horner‘s syndrome is the triad of miosis, ptosis, and anhidrosis, resulting from disruption of the sympathetic pathways. This article describes an uncommon case of Horner‘s syndrome in a 22-year-old man after blunt trauma to the neck and chest without carotid artery dissection. The patient was brought to the emergency service after motorcycle fall. Neurologic examination revealed a patient presenting the score 15 at Glasgow Coma Scale. The left eyelid was 1-2 mm lower than the right. Carotid Doppler and angiotomography were undertaken and revealed no abnormalities of the carotid artery. CT disclosed a mediastinal hematoma extending to the left apex, compressing the left sympathetic chain. The understanding of this clinical entity may help the surgeon to make a better differential diagnosis in trauma patients in whom prompt diagnosis is critical to stablish the correct treatment.

Bibliographic Details

Main Authors:	Paiva,Wellingson Silva, Amorim,Robson Luis Oliveira De, Tavares,Wagner Malago, Alho,Eduardo Joaquim Lopes, Ping Jeng,Brasil, Figueiredo,Eberval Gadelha
Format:	Digital revista
Language:	English
Published:	Academia Brasileira de Neurologia - ABNEURO 2007
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000600026
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