Department of Ophthalmology, Nîmes University Hospital, Nîmes Cedex 9.
I2FH, Institut d'Imagerie Fonctionnelle Humaine, Montpellier University Hospital Center, Gui de Chauliac Hospital, Montpellier.
Ophthalmic Plast Reconstr Surg. 2019 Jan/Feb;35(1):e15-e16. doi: 10.1097/IOP.0000000000001281.
Pourfour du Petit syndrome is an uncommon cause of eyelid retraction, associated with unilateral mydriasis and hemifacial hyperhidrosis. This syndrome is caused by hyperactivity of the ipsilateral oculosympathetic pathway and needs to be recognized because it has an opposite clinical presentation but the same topographic and diagnostic value as Horner syndrome. The authors report a rare case of Pourfour du Petit syndrome associated with cluster headache and discuss pathophysiological hypotheses, clinical presentation, complementary exams, pharmacologic testing, treatment options, and prognosis. Early detection of these symptoms may lead to swift diagnosis and treatment.
Pourfour du Petit 综合征是一种罕见的眼睑退缩原因，伴有单侧瞳孔散大和半侧面部多汗。该综合征是由同侧交感神经通路的过度活跃引起的，需要被识别，因为它的临床表现与 Horner 综合征相反，但具有相同的解剖和诊断价值。作者报告了一例罕见的伴有丛集性头痛的 Pourfour du Petit 综合征病例，并讨论了其病理生理学假说、临床表现、补充检查、药物测试、治疗选择和预后。早期发现这些症状可能导致迅速诊断和治疗。
