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孤立性霍纳综合征的神经影像学检查结果。

Neuroimaging yield in isolated Horner syndrome.

机构信息

Department of Neurology and Ophthalmology, Michigan State University, East Lansing, Michigan, USA.

出版信息

Curr Opin Ophthalmol. 2011 Nov;22(6):468-71. doi: 10.1097/ICU.0b013e32834bbf06.

DOI:10.1097/ICU.0b013e32834bbf06
PMID:21918445
Abstract

PURPOSE OF REVIEW

To review the yield of imaging in isolated cases of Horner syndrome in order to better understand if and when imaging will ultimately be beneficial.

RECENT FINDINGS

Imaging in Horner syndrome is commonly performed, however, imaging yield in isolated Horner syndrome has not been extensively studied. A few studies have tried to look into the yield of imaging in such cases and derive conclusions from their findings.

SUMMARY

With limited evidence-based data, the general recommendation for evaluation in pediatric cases of isolated Horner syndrome is physical examination, urinary catecholamines and imaging. In adults, it may be possible to hold-off on imaging of isolated Horner syndrome especially if evidence exists establishing chronic duration.

摘要

目的综述

旨在回顾孤立性霍纳综合征患者影像学检查的结果,以更好地了解影像学检查是否以及何时具有潜在获益。

最新发现

孤立性霍纳综合征患者常进行影像学检查,但孤立性霍纳综合征患者的影像学检查结果尚未得到广泛研究。一些研究试图探讨此类病例的影像学检查结果,并从研究结果中得出结论。

总结

基于有限的循证医学数据,孤立性霍纳综合征患儿评估的一般推荐包括体格检查、尿液儿茶酚胺和影像学检查。对于成人,特别是在存在慢性病程证据的情况下,孤立性霍纳综合征患者的影像学检查可能可以延迟进行。

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引用本文的文献

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Causes of Horner Syndrome: A Study of 318 Patients.霍纳综合征的病因:318 例患者研究。
J Neuroophthalmol. 2020 Sep;40(3):362-369. doi: 10.1097/WNO.0000000000000844.
2
Horner syndrome: clinical perspectives.霍纳综合征:临床视角
Eye Brain. 2015 Apr 10;7:35-46. doi: 10.2147/EB.S63633. eCollection 2015.
3
Neuroimaging experience in pediatric Horner syndrome.小儿霍纳综合征的神经影像学经验。
Pediatr Radiol. 2015 Sep;45(10):1535-43. doi: 10.1007/s00247-015-3341-9. Epub 2015 Apr 2.
4
Diagnostic approach to pupillary abnormalities.瞳孔异常的诊断方法。
Continuum (Minneap Minn). 2014 Aug;20(4 Neuro-ophthalmology):1008-22. doi: 10.1212/01.CON.0000453306.42981.94.
5
Comment on 'Adult Horner's syndrome: a combined clinical, pharmacological, and imaging algorithm'.对《成人霍纳综合征:临床、药理学及影像学综合诊断流程》的评论
Eye (Lond). 2013 Dec;27(12):1423-4. doi: 10.1038/eye.2013.198. Epub 2013 Sep 20.
6
Response to 'Comment on Adult Horner's syndrome: a combined clinical, pharmacological, and imaging algorithm'.对《成人霍纳综合征:临床、药理学及影像学综合诊断流程》评论的回应
Eye (Lond). 2013 Dec;27(12):1424-5. doi: 10.1038/eye.2013.199. Epub 2013 Sep 20.