Horner syndrome secondary to Hodgkin lymphoma

A previously healthy 31-year-old woman presented to the ophthalmology clinic with a 2-month history of left ptosis. She also reported a dry cough, non-exertional dyspnea and anhidrosis on the left side of her face. On examination, her vital signs were normal, and she had mild left ptosis and anisoco...

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Bibliographic Details
Published in:Canadian Medical Association journal (CMAJ) 2020-02, Vol.192 (8), p.E187-E187
Main Authors: Micieli, Andrew, Ghorab, Zeina, Micieli, Jonathan A
Format: Article
Language:English
Subjects:
Blepharoptosis
Carotid arteries
Case reports
CAT scans
Diagnostic imaging
Eyes & eyesight
Face
Lymphoma
Lymphomas
Medical diagnosis
Neurological disorders
Ophthalmology
Paralysis
Practice
Tomography
Tumors
Citations: Items that cite this one
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Summary:A previously healthy 31-year-old woman presented to the ophthalmology clinic with a 2-month history of left ptosis. She also reported a dry cough, non-exertional dyspnea and anhidrosis on the left side of her face. On examination, her vital signs were normal, and she had mild left ptosis and anisocoria, which was worse in dim lighting conditions, with a smaller left pupil. The patient was also found to have bulkiness throughout the left cervical and supraclavicular area, diminished breath sounds and dullness to percussion on the left. Horner syndrome, also known as oculosympathetic paresis, is a result of disruption of the sympathetic pathway that begins in the hypothalamus and takes a long course down the spinal cord to C8-T2, courses around the apex of the lung and ascends with the internal carotid artery before entering the orbit.
ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.190910