Gorner syndrome as a sign of dyscirculatory disorders

Author:

,Miroshnikova V. V.ORCID,Krivonozhkina P. S.ORCID,

Abstract

The article discusses the issues of the normal anatomy of the autonomic innervation of the eye muscles, mainly its sympathetic part. The symptoms included in the Claude Bernard Horner's syndrome, which occurs when the sympathetic pupillomotor pathway is affected, are considered. The causes of this syndrome are numerous. The classification of acquired conditions the clinical picture of which involves Horner syndrome is given. Three classes of etiological processes are distinguished: central (suprasegmental and segmental), peripheral, and idiopathic. Nosological components are listed for each of these. The complexity of the topographic anatomy of the sympathetic pathways innervating the eye muscles leads to significant difficulties in diagnosing the level of their lesion. Pathological processes affecting the peripheral part of the sympathetic chain are detected much faster, as the causes that provoked the development of Horner syndrome are often more obvious and diagnostically accessible. Cases of Horner syndrome of central genesis are significantly more difficult in diagnostic terms. The ar ticle discusses additional symptoms that form the clinical picture for stem strokes, tumors of the hypothalamic-pituitary region and brain stem, multiple sclerosis, and various diseases of the spinal cord, where the Claude Bernard Horner's syndrome is part of the clinical picture. In such cases, the analysis of neurological symptoms provides the basis for niveau diagnosis. The most difficult situations are when the only reason for the patient's visit and the objective component of the neurological status is just a triad of symptoms: miosis, partial ptosis, and enophthalmos. The paper presents an example of a similar case from clinical practice, when a patient with an acutely developed isolated left-sided symptom complex, including miosis, ptosis, and enophthalmos, had a focus of lacunar strok e in the lef t thalamo-hypothalamic region.

Publisher

PANORAMA Publishing House

Reference38 articles.

1. 1. Golubev V. L., Vein A. M. Nevrologicheskie sindromy // Rukovodstvo dlia vrachei [Neurological syndromes. Guide for doctors]. 2023. Publishing house «Medpress-inform», 736 p. (In Russ.)

2. 2. Alstadhaug KB. ErvervetHornerssyndrom [Acquired Horner's syndrome]. TidsskrNorLaegeforen. 2011 May 20;131 (910):950-4. Norwegian. doi: 10.4045/tidsskr.10.0935. PMID: 21606992.

3. 3. Patel S, Ilsen PF. Acquired Horner's syndrome: clinical review. Optometry. 2003, Apr;74 (4):245-56. PMID: 12703690.

4. 4. Vegetativnye rasstroistva: Klinika, lechenie, diagnostika [Vegetative disorders: Clinics, treatment, diagnostics]. / Edited by A. M. Vein. - М: Medical Information Agency, 2000. - 752 p. (In Russ.)

5. 5. Duus P. Topicheskii diagnoz v nevrologii. Anatomiia. Fiziologiia. Klinika [Topical diagnosis in neurology. Anatomy. Physiology. Clinics]. IPC Vazar-Ferro, Moscow, 1996. - 382 p. (In Russ.)

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3