Escrivá E, Martínez-Costa L
Servicio de Oftalmología, Hospital Dr. Peset, Valencia, España.
Arch Soc Esp Oftalmol. 2013 Sep;88(9):359-61. doi: 10.1016/j.oftal.2012.05.006. Epub 2012 Jul 24.
The case of 44 year old male patient with palpebral ptosis and trigeminal neuralgia as presenting sign of fourth ventricle ependymoma is reported. After surgical treatment, the patient developed a residual paresis of the sixth cranial nerve.
Horner's syndrome occurs due to an alteration of the sympathetic innervations of the eye and adnexa. Some tumours may be the cause, in our case an ependymoma of the fourth ventricle, which onset exceptionally with blepharoptosis and involvement of the ophthalmic division of trigeminal nerve, due to the proximity of these nerve fibres at the brainstem.
报告了一名44岁男性患者，以睑下垂和三叉神经痛为首发症状，诊断为第四脑室室管膜瘤。手术治疗后，患者出现了第六颅神经的残留麻痹。
霍纳综合征是由于眼部和附属器的交感神经支配改变所致。一些肿瘤可能是其病因，在我们的病例中是第四脑室室管膜瘤，由于这些神经纤维在脑干附近，该病罕见地以睑下垂和三叉神经眼支受累为首发症状。
