Umeki S, Tamai H, Yagi S, Soejima R, Higashi Y
Department of Medicine, Kawasaki Medical School.
Rinsho Shinkeigaku. 1990 Jan;30(1):94-9.
A 54-year-old man was admitted to our hospital because of a persistent pain of the left cervix and scapular region of three-month duration and an abnormal shadow in the chest roentgenograms. Neurological examinations, chest roentgenograms, chest CT scanning, vertebral tomograms and myelogram revealed Pancoast's syndrome concomitant with Horner's syndrome. Four months later, the patient complained of a sudden onset of unilateral flushing and sweating appearing on the right face, cervix and upper chest. Eye drop tests with cocaine, epinephrine and tyramine indicated the lesion of ciliospinal centers between the 8th cervical and 2nd thoracic spines. The unilateral flushing and sweating attack appearing on the intact side without Horner's syndrome seemed to be an excessive response by an intact sympathetic pathway, the other side failing to respond because of a sympathetic deficit.
一名54岁男性因左颈部和肩胛区持续疼痛3个月且胸部X线片有异常阴影而入院。神经学检查、胸部X线片、胸部CT扫描、脊椎断层扫描和脊髓造影显示潘科斯特综合征伴霍纳综合征。4个月后，患者主诉右脸、颈部和上胸部突然出现单侧潮红和出汗。用可卡因、肾上腺素和酪胺进行的眼药水试验表明，病变位于第8颈椎和第2胸椎之间的睫脊髓中枢。在没有霍纳综合征的情况下，患侧出现的单侧潮红和出汗发作似乎是完整的交感神经通路的过度反应，而另一侧由于交感神经缺陷而无反应。
