[Usefulness of apraclonidine in the diagnosis of Horner syndrome].
نویسندگان
چکیده
CASE REPORTS We present four cases: two males with Horner Syndrome, who were diagnosed by means of apraclonidine 0.5% and cocaine 4% tests respectively. Two children with anisocoria, one of whom had Horner Syndrome confirmed with apraclonidine 1% and the other, in whom an apraclonidine test ruled out this syndrome but in whom pilocarpine 0.125% confirmed Adie's pupil. DISCUSSION Apraclonidine drops (1% and 0.5%) may aid in the diagnosis of Horner Syndrome and are easier to obtain than cocaine.
منابع مشابه
Early diagnosis of Horner syndrome using topical apraclonidine.
The diagnosis of Horner syndrome (HS) using apraclonidine eye drops is an alternative to the use of topical cocaine drops. A number of reports have described the efficacy of apraclonidine testing, but there is some debate over its sensitivity in the acute setting. We describe a patient with HS secondary to carotid dissection who had a positive response to apraclonidine 3 hours after the onset o...
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sis of Horner syndrome with the use of topical 5% or 10% cocaine has been the standard for years. Cocaine is a controlled substance that must be prepared by individual pharmacies for local use and has become more difficult to obtain in recent years. We have found the parents of children with anisocoria and possible Horner syndrome are often hesitant to allow the use of cocaine as a diagnostic t...
متن کاملComparing efficacies of 0.5% apraclonidine with 4% cocaine in the diagnosis of horner syndrome in pediatric patients.
PURPOSE The aim of this study was to compare the efficacy of 0.5% apraclonidine with that of 4% cocaine and to evaluate its safety in the diagnosis of Horner syndrome in pediatric patients. METHODS This was a randomized, crossover study, wherein 10 patients with a probable diagnosis of Horner syndrome were assigned to undergo pharmacological testing with 4% cocaine and 0.5% apaconidine. The d...
متن کاملEfficacy of digital pupillometry for diagnosis of Horner syndrome
OBJECTIVES To evaluate the efficacy of digital pupillometry in the diagnosis of anisocoria related to Horner syndrome in adult patients. DESIGN Retrospective, observational, case control study. METHODS Nineteen patients with unilateral Horner syndrome (Horner group) and age-matched controls of 30 healthy individuals with normal vision and neither optic nerve dysfunction nor pupillary abnorm...
متن کاملTeaching NeuroImages: Positive apraclonidine test in Horner syndrome.
A 36-year-old woman reported right eyelid drooping immediately after anterior cervical discectomy and fusion. Examination 2 weeks later revealed right miosis and right ptosis (figure, A). Instillation of one drop of 0.5% apraclonidine in both eyes resulted in reversal of anisocoria and resolution of ptosis (figure, B). Apraclonidine, a selective 2 agonist used to reduce intraocular pressure, ha...
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عنوان ژورنال:
- Archivos de la Sociedad Espanola de Oftalmologia
دوره 84 2 شماره
صفحات -
تاریخ انتشار 2009