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  • Horner's Syndrome Neuropathways

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    amira
    258 vizualizări9 pagini
    Horner's syndrome is caused by disruption of the cervical sympathetic pathway from the hypothalamus. It is characterized by ptosis, miosis, anhidrosis, enophtalmus, and/or hyperemia. The syndrome can be central, preganglionic, or postganglionic depending on the location of the lesion. Preganglionic Horner's syndrome involves anhidrosis of the face and neck. Postganglionic syndrome does not include anhidrosis of the face. Common causes are neoplasms, carotid artery dissection, stroke, or iatrogenic injury from procedures.

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    SYNDROM HORNER

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    Horner Syndrome

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    Horner's syndrome is caused by disruption of the cervical sympathetic pathway from the hypothalamus. It is characterized by ptosis, miosis, anhidrosis, enophtalmus, and/or hyperemia. The syndrome can be central, preganglionic, or postganglionic depending on the location of the lesion. Preganglionic Horner's syndrome involves anhidrosis of the face and neck. Postganglionic syndrome does not include anhidrosis of the face. Common causes are neoplasms, carotid artery dissection, stroke, or iatrogenic injury from procedures.

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    258 vizualizări9 pagini

    Horner's Syndrome Neuropathways

    Încărcat de

    amira
    Horner's syndrome is caused by disruption of the cervical sympathetic pathway from the hypothalamus. It is characterized by ptosis, miosis, anhidrosis, enophtalmus, and/or hyperemia. The syndrome can be central, preganglionic, or postganglionic depending on the location of the lesion. Preganglionic Horner's syndrome involves anhidrosis of the face and neck. Postganglionic syndrome does not include anhidrosis of the face. Common causes are neoplasms, carotid artery dissection, stroke, or iatrogenic injury from procedures.

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    © All Rights Reserved
    Descărcați ca PPTX, PDF, TXT sau citiți online pe Scribd
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    din 9

    Sindroma Horner

    Level of competency 2
    Three Neuro-pathway
    1. Central Hipothalamus,brain stem,
    columna lateralis MS (C8,T1-2)
    2. Preganglionic radix ventralis,
    melewati apex pulmo,
    tr.sympathicus, ggl.cerv.sup, sweat
    gland
    3. Postganglionic bersama
    a.car.interna, sinus cavernosus,
    N.V1 (n.ciliaris longus, nn.ciliaris
    brevis
    Ganglion cervicalis superior
    Ganglion cervicalis medius
    Ganglion cervicalis inferior
    Ganglion thoracalis I

    Ganglion cervicalis inferior +


    Ganglion thoracalis I Ganglion
    cervicothoracalis (Stellata )
    Horners syndrome

    Gangguan pada cervical


    sympathetic pathway
    dari hipothalamus
    Letak lesi : sentral,
    preganglionic atau
    postganglionic
    Gejala : ptosis, miosis,
    anhidrosis,
    enophtalmus, dan/atau
    hyperemia
    Horners Syndrome
    1. Mild ptosis kelumpuhan m.tarsalis superior, paling jelas ketika
    melihat ke bawah secara ringan
    2. Miosis kelumpuhan m.dilatator pupillae (unilateral), anisochoria
    3. Mild enophtalmus kelumpuhan Muller muscle
    4. Hyperemia conjunctiva hilangnya efek konstriksi saraf simpatis
    pd pembuluh darah conjunctiva

    Anhidrosis setengah wajah, leher dan lengan pada satu sisi


    ipsilateral tergantung letak lesi (ganglion stellatum)
    Isolated Horners syndrome HS tanpa anhidrosis, lesi
    radix C8-T2 antara MS dan truncus sympathicus
    Pupillary dilation lag reaksi pupil lambat sekitar 15-30
    detik
    1. Horners syndrome
    2. Horners syndrome +
    anhidrosis
    3. Anhidrosis tanpa
    Horners syndrome
    Localization
    1. Central Horners syndrome biasanya disertai gejala lain atau
    disfungsi brain stem (mis: sindroma Wallenberg), anhidrosis
    ipsilateral wajah,leher dan badan
    2. Preganglionic Horners syndrome anhidrosis ipsilateral
    wajah dan leher saja, kelemahan otot lengan jika mengenai radix C8-
    T2 atau plexus brachialis, nyeri pada fossa supraclavicularis
    (mis:tumor apex pulmo)
    3. Postganglionic Horners syndrome tidak disertai anhidrosis
    wajah, disertai gangguan n.trigeminus ipsilateral atau n. abducens
    ipsilateral (lesi pada daerah sinus cavernosus)
    Etiologi
    Neoplasma :tumor apex pulmo (pancoast
    tumor)
    Disseksi a.carotis interna
    Stroke
    Iatrogenic : thyroidectomy, penggunaan
    cateter sentral
    Trauma pada leher atau dada

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