Posted by SJS on August 06, 1999 at 12:45:03
I was diagnosed as having Horner's syndrome two months ago by my HMO's opthalmologist. This condition was confirmed by the use of
cocaineDrug abuse eye drops. I was seen because I noticed that my pupils were unequal in size. I also have other classic symptoms such as a drooping
eyelidEyelid bump
Eyelid lift
Eyelid twitch and receding eye on the affected side. All are subtle but, nonetheless, still apparent.
I have researched this condition and am now concerned that I haven't been referred for a neurological work up, scans or X-rays. How rare is Horner's syndrome? Since it could be caused by a
malignantCancer
Gestational trophoblastic disease
Lymphoma, malignant - ct scan
Malignant melanoma
Malignant otitis externa
Melanoma of the eye
Multiple myeloma
Skin cancer, malignant melanoma turmor, shouldn't I be concerned that my large HMO hasn't been more timely in following up this diagnosis?
Posted by HFHS MD-JL on August 07, 1999 at 12:42:04
Horner's syndrome is not that uncommon. Besides the
cocaineDrug abuse testing there is testing that can be done with a drug called paradrine and this will help define where the
nerveNerve biopsy
Nerve conduction velocity damage is. Unless there is an obvious reason for this such as
neckCervical spondylosis
Head and neck glands
Herpes zoster (shingles) on the neck and cheek
Irritated seborrheic kerotosis - neck
Lymph tissue in the head and neck.
Melanoma - neck
Neck lump
Neck pain
Neck pulse
Neck x-ray
Oral cancer injury or previous neck or brain surgery, then some tests are usually done including a ct scan of the head and possible chest xray. Again some of this depends on what the paradrine test shows. This drug is not readily available. Most neuro-ophthalmologists can get there hands on this. Good luck.
This information was provided for educational puposes only.
HFHS MD-JL