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...

Early disseminated Lyme disease can be difficult to diagnose because of atypical symptoms and physical findings. A clinical diagnosis must be made in the absence of confirmatory serologic testing to allow timely therapy. We report a case of a 69-year-old woman who presents with fever, Horner syndrome, and a 12-cm oval-shaped erythematous macular rash with multiple vesiculopustular eruptions. Th...

Chronic tonsillitis is a common disease, and several different surgical techniques are used to treat this condition. In recent years, techniques such as radiofrequency ablation and coblation have been commonly used for tonsil surgery. In this report, we present the cases of two pediatric patients who developed ptosis, miosis, and enophthalmos (Horner syndrome) after radiofrequency ablation for ...

A 43-y-old white female presented to the hospital in July 2004 with pain in the left eye and left upper lid ptosis. She did not perceive any difference in perspiration between the two halves of her face. She was a nonsmoker and denied any history of head or neck trauma, or ocular, cardiac, vascular, or neurologic disease. Neuro-ophthalmological examination was normal except for 1 mm of left upp...

The aim of this paper is to study how efficiently we evaluate a system of multivariate polynomials and their partial derivatives in homotopy continuation methods. Our major tool is an extension of the Horner scheme, which is popular in evaluating a univariate polynomial, to a multivariate polynomial. But the extension is not unique, and there are many Horner factorizations of a given multivaria...

assess their own thought processes in an internal dialogue similar to reasoned debate among group members; and to represent features of the world, not just as your perspective or my perspective, but as objectively true, as facts. Evolutionary psychology is a crowded market. There’s no shortage of books telling a story about how chimp-like ancestors turned into modern humans. A Natural History o...