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Second Order Horner Syndrome Revealing Metastatic Squamous Cell Carcinoma (video) | Horner Syndrome is secondary to a lesion of the ipsilateral sympathetic pathway and is associated with ptosis, miosis, and anhidrosis. Here, we present a unique presentation of metastatic squamous cell carcinoma in a patient with a right-sided Horner Syndrome (second order). We also highlight the di... | Nithya Shanmugam; Michael Dattilo; Valerie Biousse |