Neuro-Ophthalmological Manifestations of Horner's Syndrome: Current Perspectives.

IF 3.1 Q1 OPHTHALMOLOGY Eye and Brain Pub Date : 2023-01-01 DOI:10.2147/EB.S389630
Rym Maamouri, Molka Ferchichi, Yasmine Houmane, Zaineb Gharbi, Monia Cheour
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Abstract

Horner's syndrome (HS) is caused by a damage to the oculosympathetic pathway. HS may be congenital, but it is usually acquired and may reveal a life-threatening condition. According to the anatomic location of the underlying pathologic process, HS is classified as central, pre- or postganglionic, when the lesion affects the first, second or third-order neuron, respectively. Pharmacological testing, if available, can be used to differentiate HS from « pseudo-HS » in patients with mild symptoms. Given the financial burden that imaging of the entire oculosympathetic pathway represents, a targeted imaging approach is advised. Although in the majority of cases, clinical examination may predict etiology, in other cases pharmacological testing can help in the localization process. We searched PubMed data base for papers published before December 2022 that concerned Horner's syndrome, its neuro-ophthalmological manifestations and diagnosis. In this article, we describe the main neuro-ophthalmological manifestations of the three types of HS, the most common etiologies, and a targeted diagnostic strategy in each type.

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霍纳氏综合征的神经-眼科表现:目前的观点。
霍纳综合征(HS)是由眼交感神经通路受损引起的。HS可能是先天性的,但通常是后天的,并可能显示出危及生命的状况。根据潜在病理过程的解剖位置,当病变分别影响第一、第二或第三级神经元时,HS分为中枢、神经节前或神经节后。药理学测试,如果可用,可用于区分HS与“伪HS”症状轻微的患者。考虑到整个眼交感神经通路成像所代表的经济负担,建议采用有针对性的成像方法。虽然在大多数情况下,临床检查可以预测病因,但在其他情况下,药理学试验可以帮助定位过程。我们在PubMed数据库中检索了2022年12月之前发表的有关霍纳综合征及其神经眼科表现和诊断的论文。在这篇文章中,我们描述了三种类型HS的主要神经-眼科表现,最常见的病因,以及每种类型的有针对性的诊断策略。
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来源期刊
Eye and Brain
Eye and Brain OPHTHALMOLOGY-
CiteScore
7.90
自引率
2.30%
发文量
12
审稿时长
16 weeks
期刊介绍: Eye and Brain is an international, peer-reviewed, open access journal focusing on basic research, clinical findings, and expert reviews in the field of visual science and neuro-ophthalmology. The journal’s unique focus is the link between two well-known visual centres, the eye and the brain, with an emphasis on the importance of such connections. All aspects of clinical and especially basic research on the visual system are addressed within the journal as well as significant future directions in vision research and therapeutic measures. This unique journal focuses on neurological aspects of vision – both physiological and pathological. The scope of the journal spans from the cornea to the associational visual cortex and all the visual centers in between. Topics range from basic biological mechanisms to therapeutic treatment, from simple organisms to humans, and utilizing techniques from molecular biology to behavior. The journal especially welcomes primary research articles or review papers that make the connection between the eye and the brain. Specific areas covered in the journal include: Physiology and pathophysiology of visual centers, Eye movement disorders and strabismus, Cellular, biochemical, and molecular features of the visual system, Structural and functional organization of the eye and of the visual cortex, Metabolic demands of the visual system, Diseases and disorders with neuro-ophthalmic manifestations, Clinical and experimental neuro-ophthalmology and visual system pathologies, Epidemiological studies.
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