Käcker Christoph, Wagner Franca, Caversaccio Marco, Anschuetz Lukas
Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Department of Otorhinolaryngology, Head and Neck Surgery, Universitätsklinik Heidelberg, Heidelberg, Germany.
Case Rep Neurol. 2019 Apr 4;11(1):112-116. doi: 10.1159/000497742. eCollection 2019 Jan-Apr.
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.
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。
