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A rare cause of Horner syndrome

  • D Costello (a1), J Salmon (a2), C Milford (a1) and P Pretorius (a3)
Abstract
AbstractObjectives:

To demonstrate the importance of thorough investigation of patients with Horner syndrome, and to explain the relevant anatomy.

Case report:

A 46-year-old man presented with right-sided Horner syndrome. No other abnormality was found. Magnetic resonance imaging showed calcification of the stylohyoid ligament, with a pseudoarthrosis in the mid-portion of the ligament. This pseudoarthrosis was displacing and compressing the internal carotid artery and the adjacent sympathetic chain, causing Horner syndrome.

Conclusion:

In this case, magnetic resonance imaging was invaluable in elucidating the cause of the Horner syndrome. This is the first described case of pseudoarthrosis of a calcified stylohyoid ligament causing Horner syndrome.

Copyright
Corresponding author
Address for correspondence: Mr Declan Costello, 51 Stapleton Road, Oxford OX3 7LX, UK. E-mail: declancostello@doctors.org.uk
References
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1 Digre KB, Smoker WR, Johnston P, Tryhus MR, Thompson HS, Cox TA et al. Selective MR imaging approach for evaluation of patients with Horner's syndrome. AJNR Am J Neuroradiol 1992;13:223–7
2 George A, Haydar AA, Adams WM. Imaging of Horner's syndrome. Clin Radiol 2008;63:499505
3 Kong YX, Wright G, Pesudovs K, O'Day J, Wainer Z, Weisinger HS. Horner syndrome. Clin Exp Optom 2007;90:336–44
4 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:W7481
5 Martin TJ. Horner's syndrome, pseudo-Horner's syndrome, and simple anisocoria. Curr Neurol Neurosci Rep 2007;7:397406
6 Reede DL, Garcon E, Smoker WR, Kardon R. Horner's syndrome: clinical and radiographic evaluation. Neuroimaging Clin N Am 2008;18:369–85, xi
7 Yoshiura T, Wu O, Sorensen AG. Advanced MR techniques: diffusion MR imaging, perfusion MR imaging, and spectroscopy. Neuroimaging Clin N Am 1999;9:439–53
8 Chouvel P, Rombaux P, Philips C, Hamoir M. Stylohyoid chain ossification: choice of the surgical approach. Acta Otorhinolaryngol Belg 1996;50:5761
9 Godden DR, Adam S, Woodwards RT. Eagle's syndrome: an unusual cause of a clicking jaw. Br Dent J 1999;186:489–90
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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