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Horner’s syndrome and the sympathetic nervous system
Daim Duab: Horner’s syndrome and the sympathetic nervous system

Horner syndrome yog qhov mob tsis tshua muaj tshwm sim uas cuam tshuam cov hlab ntsha mus rau lub qhov muag thiab lub ntsej muag.

Horner syndrome tuaj yeem tshwm sim los ntawm ib qho kev cuam tshuam hauv kev teeb tsa cov hlab ntsha uas tau pib nyob rau hauv ib feem ntawm lub hlwb hu ua hypothalamus thiab taug kev mus rau lub ntsej muag thiab lub qhov muag. Cov leeg ua ke no koom nrog kev tawm hws, cov miv nyuas hauv koj lub qhov muag, thiab cov leeg sab saud thiab qis tawv.

Kev puas tsuaj ntawm cov hlab ntsha tuaj yeem yog los ntawm:

  • Kev raug mob rau cov carotid leeg, ib qho ntawm cov hlab ntsha mus rau lub hlwb
  • Kev raug mob rau cov hlab ntsha hauv lub hauv paus ntawm caj dab hu ua lub caj pas brachial
  • Mob taub hau lossis pawg ua tau taub
  • Mob stroke, nqaij hlav, lossis lwm yam kev puas tsuaj rau qee qhov ntawm lub hlwb hu ua hlwb hlwb
  • Mob qog nyob rau sab saum toj ntawm lub ntsws, nruab nrab ntawm lub ntsws, thiab caj dab
  • Kev txhaj tshuaj los yog phais ua kom cuam tshuam cov hlab ntsha pob txha thiab txo qhov mob (sympathectomy)
  • Mob hlwb txha caj qaum

Hauv qee qhov tsawg, Horner syndrome tuaj yeem yug thaum yug los. Tus mob yuav tshwm sim nrog tsis muaj xim (pigmentation) ntawm lub ntsej muag (qhov pom xim ntawm qhov muag).


Cov tsos mob ntawm Horner syndrome yuav suav nrog:

  • Txo tawm hws nyob rau sab cuam tshuam ntawm lub ntsej muag
  • Drooping tawv muag (ptosis)
  • Sinking of eyeball rau hauv lub ntsej muag
  • Qhov ntau thiab tsawg sib txawv ntawm cov tub ntxhais kawm ntawm lub qhov muag (anisocoria)

Kuj tseem yuav muaj lwm cov tsos mob, nyob ntawm qhov chaw nyob ntawm cov tshuaj fiber cuam tshuam. Cov no suav nrog:

  • Vertigo (qhov hnov ​​ib puag ncig yws) nrog xeev siab thiab ntuav
  • Ob lub zeem muag
  • Tsis muaj cov leeg tswj thiab ua kom sib haum
  • Caj npab, tsis muaj zog thiab loog
  • Ib sab caj dab thiab mob pob ntseg
  • Khuam
  • Hnov tsis hnov ​​lus
  • Lub zais zis thiab txoj hnyuv nyuaj
  • Kev yoog tsis txaus siab ntawm lub cev tsis tuaj yeem (siv lub cev tshwj xeeb) mus rau lub hlwb ua rau lub siab (hyperreflexia)

Tus kws kho mob yuav kuaj ib ce thiab nug txog cov tsos mob.

Qhov kuaj xyuas qhov muag yuav pom:

  • Kev pauv hloov uas tus tub ntxhais kawm qhib lossis kaw
  • Tawv muag muag daj
  • Qhov muag liab

Raws li qhov xav tias tsam muaj, kev sim yuav ua tau, xws li:


  • Kuaj ntshav
  • Kev kuaj ntshav txog lub taub hau (angiogram)
  • Kev ntsuas duab xoo hluav taws xob hauv siab lossis lub hauv siab CT scan
  • MRI lossis CT scan ntawm lub paj hlwb
  • Tus txha caj qaum (caj pas sab nraud)

Tej zaum koj yuav tsum raug xa mus rau tus kws kho mob uas paub tshwj xeeb hauv cov teeb meem tsis pom kev cuam tshuam nrog cov leeg hlwb (neuro-ophthalmologist).

Kev kho yog nyob ntawm qhov pib qhov mob ua rau. Nws tsis muaj kev kho rau Horner syndrome nws tus kheej. Ptosis yog mob me heev thiab muaj qee zaus muaj feem cuam tshuam tsis pom kev zoo hauv Horner syndrome. Qhov no tuaj yeem raug kho los ntawm kev phais mob kho kom zoo nkauj lossis kho nrog qhov muag pom. Tus kws kho mob tuaj yeem qhia koj ntxiv.

Qhov tshwm sim yog nyob ntawm seb kev kho mob ntawm qhov ua tiav.

Nws tsis muaj qhov tshwm sim ncaj qha ntawm Horner syndrome nws tus kheej. Tab sis, nws kuj yuav muaj teeb meem los ntawm tus kab mob uas ua rau Horner syndrome lossis los ntawm nws txoj kev kho.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm Horner syndrome.

Oculosympathetic paresis

  • Nruab nrab hauv lub paj hlwb thiab lub paj hlwb peripheral

Tus Txiv Neej LJ. Pupillary mob. Hauv: Liu GT, Volpe NJ, Galetta SL, eds. Liu, Volpe, thiab Galetta tus Neuro-OphthalmologyCov. 3lawm ed. Philadelphia, PA: Elsevier; 2019: chap 13.


Guluma K. Diplopia. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 18.

Thurtell MJ, Rucker JC. Pupillary thiab tawv muag txawv txav. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 18.

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