54. Horner's Syndrome

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Identifier 54_Horners_Syndrome.mp3
Title 54. Horner's Syndrome
Creator J. Lawton Smith, MD (1929-2011)
Affiliation (JLS) Professor Emeritus of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine
Subject Ptosis; Miosis; Anhidrosis; Otogenic Horner Syndrome; Gradenigo Syndrome; Cocaine Test; Raeder's Paratrigeminal Syndrome; Vidian Neuralgia
Description History: In September of 1975 J. Lawton Smith talks about the nine cardinal features of the Horner syndrome or oculosympathetic palsy. Anatomy: Oculosympathetics originating from hypothalamus as the first order neuron going to spinal cord levels C7 to T2 synapse in ciliospinal center of budge, post ganglionic 2nd order neurons further synapse in superior cervical ganglion and post ganglionic third order neurons pass through carotid canal to the orbit. Pathology: Oculosympathetic palsy or interruption of the sympathetics at the level of first, second or third order neurons. Disease/Diagnosis: 1. Horner syndrome 2. Vidian neuralgia 3. Otogenic Horner syndrome. Clinical: 1. Increased amplitude of accommodation 2. Positive 10% cocaine test (he goes into details about how to conduct a cocaine test). 3. Extent of ptosis can be subtle in Horner syndrome compared to a third cranial nerve palsy. 4. Transient ocular hypotony 5. Iris heterochromia seen in congenital Horner syndrome. 6. Late change in the viscosity of tears 7. Elevation of the lower eyelids with apparent narrowing of the palpebral fissure. Neuroimaging: Chest x-ray to rule out pancoast tumor affecting second order neurons.
Date 1970; 1971; 1972; 1973; 1974; 1975; 1976; 1977; 1978; 1979
Language eng
Format audio/mpeg
Type Sound
Source 1/4" reel-to-reel audio tape; Filesize: 100,449,603 bytes; Play length: 53:36; Jeremy Smith, audio technician; Tandberg TB15 Reel-to-reel deck; 16 bit mono; Captured using SAWstudio; Encoded using LAME; Windows 2000
Collection Neuro-Ophthalmology Virtual Education Library: J. Lawton Smith Neuro-Ophthalmology Collection: https://novel.utah.edu/Smith/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management Copyright 1975. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6sj1nbw
Setname ehsl_novel_jls
ID 180262
Reference URL https://collections.lib.utah.edu/ark:/87278/s6sj1nbw
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