A novel case of Horner syndrome as the presenting sign of craniosynostosis.

التفاصيل البيبلوغرافية
العنوان: A novel case of Horner syndrome as the presenting sign of craniosynostosis.
المؤلفون: Diklich N; Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida., Panneerselvam S; Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida., Perez NE; Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida., Falcone M; Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida., Cavuoto KM; Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida. Electronic address: kcavuoto@med.miami.edu.
المصدر: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2024 Apr; Vol. 28 (2), pp. 103851. Date of Electronic Publication: 2024 Feb 16.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 9710011 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-3933 (Electronic) Linking ISSN: 10918531 NLM ISO Abbreviation: J AAPOS Subsets: MEDLINE
أسماء مطبوعة: Publication: [New York] : Elsevier Inc.
Original Publication: St. Louis, MO : Mosby-Year Book, Inc., c1997-
مواضيع طبية MeSH: Horner Syndrome*/etiology , Horner Syndrome*/complications , Craniosynostoses*/complications , Craniosynostoses*/diagnosis , Craniosynostoses*/surgery, Male ; Humans ; Child ; Anisocoria/diagnosis ; Anisocoria/etiology ; Skull ; Optic Nerve
مستخلص: Craniosynostosis, the premature fusion of cranial sutures, can lead to distortion of skull shape and neurological dysfunction. We present a novel case of Horner syndrome as the presenting sign of craniosynostosis associated with elevated intracranial pressure. A 10-year-old boy presenting for strabismus follow-up was noted to have new-onset anisocoria, greater in the dark, and mild right upper eyelid ptosis. Apraclonidine testing was concerning for Horner syndrome. Neuroimaging demonstrated previously undiagnosed sagittal craniosynostosis with tortuous optic nerves and large cerebrospinal fluid spaces around both optic nerves. The patient was referred to neurosurgery and underwent a lumbar puncture with an opening pressure of 44 cm H 2 O. He underwent surgical cranial expansion. By six months postoperatively, his anisocoria had resolved.
(Copyright © 2024 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.)
تواريخ الأحداث: Date Created: 20240218 Date Completed: 20240409 Latest Revision: 20240523
رمز التحديث: 20240523
DOI: 10.1016/j.jaapos.2024.103851
PMID: 38368924
قاعدة البيانات: MEDLINE
الوصف
تدمد:1528-3933
DOI:10.1016/j.jaapos.2024.103851