霍纳综合征作为急性蝶窦炎的并发症

Horner Syndrome as Complication of Acute Sphenoid Sinusitis.

作者信息

Käcker Christoph, Wagner Franca, Caversaccio Marco, Anschuetz Lukas

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.

Department of Otorhinolaryngology, Head and Neck Surgery, Universitätsklinik Heidelberg, Heidelberg, Germany.

出版信息

Case Rep Neurol. 2019 Apr 4;11(1):112-116. doi: 10.1159/000497742. eCollection 2019 Jan-Apr.

DOI:10.1159/000497742

PMID:31543791

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6739703/

Abstract

Horner syndrome is described in this case report as a rare complication of bacterial sphenoid sinusitis. A patient presented with miosis, ptosis, and ophthalmic nerve palsy with acute sphenoid sinusistis and cavernous sinus thrombosis on MRI. The impairment of sympathetic fiberscan can be explained through the direct septic effects of the sphenoid sinusitis and indirectly through thrombosis of the cavernous sinus at the level of the carotid plexus.

摘要

本病例报告中描述了霍纳综合征是细菌性蝶窦炎的一种罕见并发症。一名患者因急性蝶窦炎和MRI显示海绵窦血栓形成，出现瞳孔缩小、上睑下垂和动眼神经麻痹。交感神经纤维受损可通过蝶窦炎的直接感染作用来解释，也可通过颈动脉丛水平的海绵窦血栓形成间接解释。