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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2016; 35(04): 315-318
DOI: 10.1055/s-0036-1593507
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Cervical Disc Herniation and Central Horner Syndrome

Hérnia de disco cervical e síndrome de Horner central
Luis Rocha
1   Serviço de Neurocirurgia, Centro Hospitalar do Porto, Porto, Portugal
,
Mário Gomes
1   Serviço de Neurocirurgia, Centro Hospitalar do Porto, Porto, Portugal
,
Ernesto Carvalho
1   Serviço de Neurocirurgia, Centro Hospitalar do Porto, Porto, Portugal
› Author Affiliations
Further Information

Publication History

04 August 2016

12 September 2016

Publication Date:
17 October 2016 (online)

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Abstract

Central Horner syndrome is a rare condition, comprising a unique pathophysiological phenomenon. It results from vascular lesions, head or thoracic trauma. We describe a case of Horner syndrome associated to cervical disc herniation, and first-order neuron compression. To our knowledge, this is the second case reported to date in the literature.

Resumo

A síndrome de Horner central é uma condição rara, que compreende um fenómeno fisiopatológico singular. Resulta de lesões vasculares, trauma cerebral ou torácico. Descrevemos um caso de síndrome de Horner associado a hérnia de disco cervical, com lesão de primeiro neurónio. De acordo com a revisão, é o segundo caso reportado na literatura.

Keywords

síndrome de Horner central - spinal cord lesion - cervical disc herniation

Palavras-chave

síndrome de Horner central - lesão medular - hérnia de disco cervical
 

  • References

  • 1 Horner F. Über eine Form von Ptosis. Klin Monatsbl Augenheilkd. 1869; 7: 193-198
    PubMedGoogle Scholar
  • 2 van der Wiel HL. Johann Friedrich Horner (1831-1886). J Neurol 2002; 249 (5) 636-637
    CrossrefPubMedGoogle Scholar
  • 3 Ma H, Kim I. Horner Syndrome associated with a Herniated Cervical Disc: A Case Report. Korean J Spine 2012; 9 (2) 108-110
    CrossrefPubMedGoogle Scholar
  • 4 Rumana CS, Baskin DS. Brown-Sequard syndrome produced by cervical disc herniation: case report and literature review. Surg Neurol 1996; 45 (4) 359-361
    CrossrefPubMedGoogle Scholar
  • 5 Roth EJ, Park T, Pang T, Yarkony GM, Lee MY. Traumatic cervical Brown-Sequard and Brown-Sequard-plus syndromes: the spectrum of presentations and outcomes. Paraplegia 1991; 29 (9) 582-589
    CrossrefPubMedGoogle Scholar
  • 6 Edwards A, Andrews R. A case of Brown-Sequard syndrome with associated Horner's syndrome after blunt injury to the cervical spine. Emerg Med J 2001; 18 (6) 512-513
    CrossrefPubMedGoogle Scholar
  • 7 Allen AY, Meyer DR. Neck procedures resulting in Horner syndrome. Ophthal Plast Reconstr Surg 2009; 25 (1) 16-18
    CrossrefPubMedGoogle Scholar
  • 8 Civelek E, Karasu A, Cansever T , et al. Surgical anatomy of the cervical sympathetic trunk during anterolateral approach to cervical spine. Eur Spine J 2008; 17 (8) 991-995
    CrossrefPubMedGoogle Scholar
  • 9 Mariniello G, Annecchiarico H, Sardo L, Buonamassa S, de Divitiis E. Connections of sympathetic fibres inside the cavernous sinus: a microanatomical study. Clin Neurol Neurosurg 2000; 102 (1) 1-5
    CrossrefPubMedGoogle Scholar
  • 10 Reede DL, Garcon E, Smoker WR, Kardon R. Horner's syndrome: clinical and radiographic evaluation. Neuroimaging Clin N Am 2008; 18 (2) 369-385 , xi
    CrossrefPubMedGoogle Scholar
  • 11 Lee JH, Lee HK, Lee DH, Choi CG, Kim SJ, Suh DC. Neuroimaging strategies for three types of Horner syndrome with emphasis on anatomic location. AJR Am J Roentgenol 2007; 188 (1) W74-81
    CrossrefPubMedGoogle Scholar
  • 12 Almog Y, Gepstein R, Kesler A. Diagnostic value of imaging in horner syndrome in adults. J Neuroophthalmol 2010; 30 (1) 7-11
    CrossrefPubMedGoogle Scholar
  • 13 Panciani PP, Forgnone S, Fontanella M, Ducati A, Lanotte M. Unusual presentation of a spontaneous spinal epidural haematoma. Acta Neurol Belg 2009; 109 (2) 146-148
    PubMedGoogle Scholar
  • 14 Digre KB, Smoker WR, Johnston P , et al. Selective MR imaging approach for evaluation of patients with Horner's syndrome. AJNR Am J Neuroradiol 1992; 13 (1) 223-227
    PubMedGoogle Scholar
  • 15 Shen CC, Wang YC, Yang DY, Wang FH, Shen BB. Brown-Séquard syndrome associated with Horner's syndrome in cervical epidural hematoma. Spine 1995; 20 (2) 244-247
    CrossrefPubMedGoogle Scholar
  • 16 Sacco RL, Freddo L, Bello JA, Odel JG, Onesti ST, Mohr JP. Wallenberg's lateral medullary syndrome. Clinical-magnetic resonance imaging correlations. Arch Neurol 1993; 50 (6) 609-614
    CrossrefPubMedGoogle Scholar