From: Isolated Horner’s Syndrome Secondary To Rhinosinusitis: A Case Report And Literature Review
References | Turner and colleagues | Käcker and colleagues | Present case | |
---|---|---|---|---|
Sex/age (years) | M/24 | NR/62 | M/40 | |
Comorbidities | NR | No | No | |
Horner’s syndrome characteristics | Days since sinusitis till HS | 3d | 10d | 15d |
Ptosis | Yes | Yes | Yes | |
Miosis | Yes | Yes | Yes | |
Anhidrosis | Yes | NR | No | |
Pharmacological tests | No | No | Yes | |
Neuroimages | MRA, MRV, and brain MRI | MRA, CT scan, and Brain MRI | CT angiography, brain MRI | |
Symptoms probably not directly associated with HS or rhinosinusitis | Sharp right supraorbital pain | Third cranial nerve palsy | No | |
Sinusitis features | Location | Ethmoid and frontal sinus | Sphenoidal sinus | Unspecified |
Management | Clarithromycin | Surgical drainage, ceftriaxone, metronidazole, sulfamethoxazole trimethoprim | Analgesic, saline nasal irrigation, intranasal glucocorticoids, and amoxicillin-clavulanate | |
Follow-up | Full recovery 2 days | Full recovery of symptoms 4 weeks later. | The patient remained with mild symptoms after 1 year. |