Horners syndrome

[chiki]

I am 35 years old. when I was 18 I had an accident in which I lost all vision in my left eye.
A few month ago I noticed a problem,loss of sweat formation on the forehead of the damaged eye.since my left eye is damaged the pupil does not react to light stimulus and does not  accommodate to distant vision (this is not new and had been so for 17 years since my accident, the new thing that troubels me is the loss of sweat formation I have mentioned before.
The signs look like Horners syndrome but because of my eye condition I can't kmow for sure.
I had a C.T and MRI and both of them seemed fine (as the doctors say). still I suffer from the problem and from frequent headaces (I have been suffring from headaces for a few years).
Now it seems no one here (in Israel) has any idea what is my problem.
I realy hope you can help me and maybe contact me with some one who can help me.
                thank you!

[CCF-Neuro-M.D.-JT]

It could be Horner's but with a history of trauma to the eye, we lose key components of the classical physical findings of Horner's which consists of 1)constricted pupil 2)droopy eyelid and 3)loss of sweating over forehead on affected side. Glad the MRI was ok. There are many, many causes of Horner;s syndrome such as MS, stroke, tumor, post surgical, trauma, spinal cord problem etc... but these should have showed up on an MRI. In older patients with risk factors for lung cancer,  tumor in the top of the lung can cause a Horner;s. Other things this could represent if it's a new finding include a tear in one of the arteries in your neck (can be checked with MRI of the arteries), and migraine headaches (which could be the case for you and is a limited finding that will go away on its own).
It's even quite possible that it's NOT horner's at all as we are confounded by the physical findings of the previous trauma.  Getting a second opinion in the states may be out of the question for you, but consider it if it's possible. Otherwise,
get help with the headaches and see if the other symptoms don't improve. A chest XR may be helpful if you're a smoker to rule out tumors. Good luck.

[krobe51465]

I developed Horners Syndrome (amoung other symptoms)after I suffered a blunt neck trauma.  I also had heat related problems on one side of my body.  My CT Scan and MRI's were also negative.  Only after my doctor did an arteriogram did he discover a complete occlusion of my vertebral artery caused by a dissection that occurred during the trauma.  My dissection was caused by a sports injury but I have read of many causes, some of which are very benign - some dissected vertebral arteries have reportedly been caused by chiropractic procedures and even having hair washed at beauty parlors.  You might discuss this possibility with your doctor.

Good luck.