Neuroimaging experience in pediatric Horner syndrome.
Pediatr Radiol
; 45(10): 1535-43, 2015 Sep.
Article
em En
| MEDLINE
| ID: mdl-25832988
ABSTRACT
BACKGROUND:
Horner syndrome in children is rare. The frequency and spectrum of malignancy as the cause of Horner syndrome in children remains unclear. Also unclear is whether the imaging work-up should include the entire oculo-sympathetic pathway or should be more targeted. In addition, the value of cross-sectional angiographic imaging in Horner syndrome is uncertain.OBJECTIVE:
To review imaging pathology in a cohort of children with Horner syndrome at a major academic pediatric medical center. MATERIALS ANDMETHODS:
We reviewed a 22-year period of CT and MR imaging studies in children with a clinical diagnosis of Horner syndrome referred for imaging.RESULTS:
We found 38 patients who fulfilled study criteria of Horner syndrome and 6/38 had relevant imagingfindings:
2/6 etiologies were neoplastic (congenital neuroblastoma and central astrocytoma), 1/6 had a vascular abnormality (hypoplastic carotid artery), 1/6 had maldevelopment (Chiari I malformation), and 2/6 had inflammatory/traumatic etiology (viral cervical lymphadenopathy, post jugular vein cannulation). There was a similar number of congenital and acquired pathologies. The malignancies were found at any level of the oculosympathetic pathway.CONCLUSION:
There are treatable causes, including malignancies, in children presenting with Horner syndrome, which justify imaging work-up of the entire oculosympathetic pathway, unless the lesion level can be determined clinically.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome de Horner
/
Olho
/
Neuroimagem
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
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Adult
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
/
Newborn
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Pediatr Radiol
Ano de publicação:
2015
Tipo de documento:
Article