HORNER SYNDROME DUE TO TRAUMATIC CLAVICLE FRACTURE

Detalhes bibliográficos
Autor(a) principal: Guerra, Marta
Data de Publicação: 2017
Outros Autores: Marques, Sara, Almeida, Catarina, Tavares, Rui, Estrada, Joaquim
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.48560/rspo.10643
Resumo: Objective: Describe a unique case of preganglionic Horner Syndrome due to middle third clavicle fracture. Methods: A 40 year-old man, hemodynamically stable, presented at the emergency room with left ptosis and miosis after a car accident. Complete ophthalmological examination including external exam, pupil and extraocular movement evaluation, best corrected visual acuity, biomicroscopy, tonometry and fundus exam was performed. Further investigation included chest and pelvic X-rays and pharmacological testing of pupillary reactions. Results: Ophthalmological examination showed no alterations except for ptosis and miosis on the left eye. The X-rays revealed displaced clavicle fracture, third rib and ischiopubic branch fractures on the left side. Apraclonidine and phenylephrine tests diagnosed second-order sympathetic chain lesion. One year later, ptosis persisted and conjunctivo-müllerectomy was performed. Conclusion: Traumatic mild ptosis and miosis alert to sympathetic chain interruption. Pharmacological tests are essential to localize and identify its cause. We present a preganglionic Horner Syndrome due to isolated middle third clavicle fracture, which to our knowledge is reported for the first time.
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spelling HORNER SYNDROME DUE TO TRAUMATIC CLAVICLE FRACTUREComunicações Curtas e Imagens em OftalmologiaObjective: Describe a unique case of preganglionic Horner Syndrome due to middle third clavicle fracture. Methods: A 40 year-old man, hemodynamically stable, presented at the emergency room with left ptosis and miosis after a car accident. Complete ophthalmological examination including external exam, pupil and extraocular movement evaluation, best corrected visual acuity, biomicroscopy, tonometry and fundus exam was performed. Further investigation included chest and pelvic X-rays and pharmacological testing of pupillary reactions. Results: Ophthalmological examination showed no alterations except for ptosis and miosis on the left eye. The X-rays revealed displaced clavicle fracture, third rib and ischiopubic branch fractures on the left side. Apraclonidine and phenylephrine tests diagnosed second-order sympathetic chain lesion. One year later, ptosis persisted and conjunctivo-müllerectomy was performed. Conclusion: Traumatic mild ptosis and miosis alert to sympathetic chain interruption. Pharmacological tests are essential to localize and identify its cause. We present a preganglionic Horner Syndrome due to isolated middle third clavicle fracture, which to our knowledge is reported for the first time.Ajnet2017-08-09T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporthttps://doi.org/10.48560/rspo.10643eng1646-69501646-6950Guerra, MartaMarques, SaraAlmeida, CatarinaTavares, RuiEstrada, Joaquiminfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-22T17:06:02Zoai:ojs.revistas.rcaap.pt:article/10643Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:01:39.722848Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv HORNER SYNDROME DUE TO TRAUMATIC CLAVICLE FRACTURE
title HORNER SYNDROME DUE TO TRAUMATIC CLAVICLE FRACTURE
spellingShingle HORNER SYNDROME DUE TO TRAUMATIC CLAVICLE FRACTURE
Guerra, Marta
Comunicações Curtas e Imagens em Oftalmologia
title_short HORNER SYNDROME DUE TO TRAUMATIC CLAVICLE FRACTURE
title_full HORNER SYNDROME DUE TO TRAUMATIC CLAVICLE FRACTURE
title_fullStr HORNER SYNDROME DUE TO TRAUMATIC CLAVICLE FRACTURE
title_full_unstemmed HORNER SYNDROME DUE TO TRAUMATIC CLAVICLE FRACTURE
title_sort HORNER SYNDROME DUE TO TRAUMATIC CLAVICLE FRACTURE
author Guerra, Marta
author_facet Guerra, Marta
Marques, Sara
Almeida, Catarina
Tavares, Rui
Estrada, Joaquim
author_role author
author2 Marques, Sara
Almeida, Catarina
Tavares, Rui
Estrada, Joaquim
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Guerra, Marta
Marques, Sara
Almeida, Catarina
Tavares, Rui
Estrada, Joaquim
dc.subject.por.fl_str_mv Comunicações Curtas e Imagens em Oftalmologia
topic Comunicações Curtas e Imagens em Oftalmologia
description Objective: Describe a unique case of preganglionic Horner Syndrome due to middle third clavicle fracture. Methods: A 40 year-old man, hemodynamically stable, presented at the emergency room with left ptosis and miosis after a car accident. Complete ophthalmological examination including external exam, pupil and extraocular movement evaluation, best corrected visual acuity, biomicroscopy, tonometry and fundus exam was performed. Further investigation included chest and pelvic X-rays and pharmacological testing of pupillary reactions. Results: Ophthalmological examination showed no alterations except for ptosis and miosis on the left eye. The X-rays revealed displaced clavicle fracture, third rib and ischiopubic branch fractures on the left side. Apraclonidine and phenylephrine tests diagnosed second-order sympathetic chain lesion. One year later, ptosis persisted and conjunctivo-müllerectomy was performed. Conclusion: Traumatic mild ptosis and miosis alert to sympathetic chain interruption. Pharmacological tests are essential to localize and identify its cause. We present a preganglionic Horner Syndrome due to isolated middle third clavicle fracture, which to our knowledge is reported for the first time.
publishDate 2017
dc.date.none.fl_str_mv 2017-08-09T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://doi.org/10.48560/rspo.10643
url https://doi.org/10.48560/rspo.10643
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1646-6950
1646-6950
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instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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