Pirouzian Amir, Holz Huck A, Ip Kenneth C, Sudesh Rattehalli
Kaiser Permanente Medical Group, Santa Clara, California, USA.
J AAPOS. 2010 Apr;14(2):172-4. doi: 10.1016/j.jaapos.2009.12.169.
Horner syndrome, a triad of ptosis, anisocoria, and anhidrosis, results from interruption in the oculosympathetic pathway. It is classically described as either congenital or acquired to depict its underlying pathophysiology and requisite work-up. We report a case of a 10-month-old infant presenting with an acute onset of left Horner syndrome secondary to a spontaneous extracranial internal carotid artery dissection. To the best of our knowledge, this is the first case report in the literature of acute onset of acquired infantile Horner syndrome in association with spontaneous carotid artery dissection confirmed with magnetic resonance angiogram.
霍纳综合征是一种由上睑下垂、瞳孔不等大和无汗三联征组成的疾病，由眼交感神经通路中断引起。传统上根据其潜在的病理生理学和必要的检查将其描述为先天性或后天性。我们报告一例10个月大婴儿，因自发性颅外颈内动脉夹层导致急性左霍纳综合征。据我们所知，这是文献中首例经磁共振血管造影证实的与自发性颈动脉夹层相关的后天性婴儿霍纳综合征急性发作的病例报告。
