Stephen J. Schueler, M.D.

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Horner's Syndrome Evaluation

Evaluation of Horner's syndrome begins with a history and physical examination.

Physical findings in someone with may include:

The diagnosis of Horner's syndrome is made during physical exam. Tests may required in order to find the cause of Horner's syndrome.

Tests that may be used to evaluate Horner's syndrome include:

The instillation of a 4% solution of cocaine into the eye can help differentiate between central and peripheral sympathetic pathway abnormalities. The diagnosis, but not the cause, is usually obvious after a physical examination.

Continue to Horner's Syndrome Treatment

Last Updated: Dec 15, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Horner's Syndrome References
  1. Amonoo-Kuofi HS. Horner's syndrome revisited: with an update of the central pathway. Clin Anat. 1999;12(5):345-61. [10462732]
  2. Fetzer SJ. Recognizing Horner's syndrome. J Perianesth Nurs. 2000 Apr;15(2):124-8. [11111529]
  3. Leira EC, Bendixen BH, Kardon RH, Adams HP Jr. Brief, transient Horner's syndrome can be the hallmark of a carotid artery dissection. Neurology. 1998 Jan;50(1):289-90. [9443497]
  4. Patel S, Ilsen PF. Acquired Horner's syndrome: clinical review. Optometry. 2003 Apr;74(4):245-56. [12703690]
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