Article type: Case Report
Article
title: Isolated horner's syndrome secondary to rhinosinusitis: a case report and literature review
Journal: The
Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Year: 2020
Authors: Jamir Pitton Rissardo, Ana Letícia Fornari
Caprara, Juliana Oliveira Freitas Silveira, Paulo Gilberto Medeiros Jauris
E-mail: jamirrissardo@gmail.com
ABSTRACT
Background:
Horner’s syndrome (HS) is characterized by unilateral ptosis, ipsilateral miosis
with normally reactive pupil, and in some cases, ipsilateral facial anhidrosis.
Case presentation: We report an adult male presenting with ptosis. Neurological
examination revealed ptosis and miosis in the right eye. Anhidrosis was not
observed, and the patient did not complain about it. Laboratory tests were
within normal limits. He had searched a general practitioner because of
purulent nasal discharge, nasal obstruction, and anosmia. He was diagnosed with
acute rhinosinusitis. Symptomatic treatment was started. The subject had full
recovery of the nasal symptoms, but his right upper eyelid was drooping
progressively. In the follow-up, after the third month, the patient was
recovering from ptosis and miosis. In 1 year, the ptosis was minor with less than
1 mm and miosis was no more observed. Discussion: A few cases of HS secondary
to a sinus infection have been reported in the literature. To the authors’
knowledge, there are only two case reports of individuals who developed
sinusitis and Horner’s syndrome. The present case is the first to present
isolated HS features. Our report suggests that sinusitis should be listed as a
probable cause of isolated Horner’s syndrome. Moreover, patients presenting
with this presentation probably have a good prognosis.
Keywords: Horner syndrome, sinusitis, ptosis, miosis, anhidrosis
Full text available at:
https://link.springer.com/article/10.1186/s41983-020-00165-4#Bib1
DOI
10.1186/s41983-020-00165-4
Citation
Rissardo
JP, Caprara AL, Silveira JO, Jauris PG. Isolated horner's syndrome secondary to rhinosinusitis: a case report and literature review. Egypt J Neurol Psychiatry Neurosurg 2020;56:1-4
