Hopf H C
J Neurol. 1980;224(2):155-7. doi: 10.1007/BF00313353.
A patient with a cervical intramedullary ependymoma is described who exhibited a Horner's syndrome on alternate sides. Pharmacological study demonstrated damage to the pre-ganglionic sympathetic neurons. Disregarding cases with the Shy-Drager syndrome, three comparable case reports have been found in the literature where the fluctuating expression of Horner's syndrome, alternating from one side to the other, was attributable to a lesion of the cervical spinal cord. In contrast to the present patient, the pharmacological responses of these patients indicated a lesion of the central sympathetic pathway.
本文描述了一名患有颈髓内室管膜瘤的患者，其霍纳综合征交替出现在双侧。药理学研究表明节前交感神经元受损。除了患有夏伊-德雷格综合征的病例外，文献中还发现了三例类似病例报告，其中霍纳综合征的波动表现从一侧交替到另一侧，归因于颈脊髓病变。与本患者不同的是，这些患者的药理学反应表明中枢交感神经通路存在病变。
