Stroke Center and Neurology Service, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland.
Service of Diagnostic and Interventional Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland.
Clin Auton Res. 2018 Dec;28(6):583-587. doi: 10.1007/s10286-018-0544-9. Epub 2018 Jul 10.
Horner's syndrome has important localizing and etiological value in acute ischemic stroke. In a prospective series of consecutive acute ischemic stroke patients, we identified three patients with Horner's syndrome and contralateral hemiparesis due to ipsilateral small deep infarction in the middle cerebral artery territory (lenticulostriate arteries). Lacunar stroke was the most likely stroke mechanism in all three patients. This observation might suggest the existence of an uncrossed cortico-hypothalamic sympathetic pathway passing through the basal ganglia and modulating oculosympathetic function.
霍纳氏综合征在急性缺血性脑卒中中有重要的定位和病因学价值。在一项连续急性缺血性脑卒中患者的前瞻性研究中，我们发现了三例因大脑中动脉区域（纹状体动脉）同侧小深部梗死导致霍纳氏综合征和对侧偏瘫的患者。在所有这三个患者中，腔隙性卒中是最可能的卒中机制。这一观察结果可能表明存在一种未交叉的皮质-下丘脑交感神经通路，通过基底节调节眼交感神经功能。
