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Images in emergency medicine
Pharmacological diagnosis of Horner's syndrome in the Emergency Department
  1. Jeremy O'Connor1,
  2. Martin Rochford2,
  3. Gerard O'Connor1,
  4. Noel Fanning3
  1. 1Department of Ophthalmology, Cork University Hospital, Cork, Ireland
  2. 2Accident & Emergency Department, AMNCH, Tallaght, Dublin, Ireland
  3. 3Department of Radiology, Cork University Hospital, Cork, Ireland
  1. Correspondence toJeremy O'Connor, Department of Ophthalmology, Cork University Hospital, Wilton, Cork, Ireland; jeremyoconnor_ie{at}yahoo.com

https://doi.org/10.1136/emj.2010.096420

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    Introduction

    A 49-year-old woman presented to the Emergency Department (ED) with left upper eyelid ptosis and pupil constriction: ocular signs of Horner's syndrome (figure 1, panel A). She described a 10-day history of ipsilateral neck pain and hemicranial headache, with no history of trauma. Diagnosis of Horner's syndrome was confirmed by instilling one drop of …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; not externally peer reviewed.