Horner syndrome usually affects only one side of the face. Common signs and symptoms include:
- A persistently small pupil (miosis)
- A notable difference in pupil size between the two eyes (anisocoria)
- Little or delayed opening (dilation) of the affected pupil in dim light
- Drooping of the upper eyelid (ptosis)
- Slight elevation of the lower lid, sometimes called upside-down ptosis
- Little or no sweating (anhidrosis) either on the entire side of the face or an isolated patch of skin on the affected side
Signs and symptoms, particularly ptosis and anhidrosis, may be subtle and difficult to detect.
Additional signs and symptoms in children with Horner syndrome may include:
- Lighter iris color in the affected eye of a child under the age of 1
- Lack of redness (flushing) on the affected side of the face that would normally appear from heat, physical exertion or emotional reactions
When to see a doctor
A number of factors, some more serious than others, can cause Horner syndrome. It is important to get a prompt and accurate diagnosis.
Get emergency care if signs or symptoms associated with Horner syndrome appear suddenly, appear after a traumatic injury, or are accompanied by other signs or symptoms, such as:
May. 06, 2014
- Impaired vision
- Muscle weakness or lack of muscle control
- Severe, sudden headache or neck pain
- Ropper AH, et al. Adams & Victor's Principles of Neurology. 9th ed. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/content.aspx?aID=3631773. Accessed Dec. 31, 2013.
- Kedar S, et al. Horner's syndrome. http://www.uptodate.com/home. Accessed Dec. 31, 2013.
- Mughal M, et al. Current pharmacologic testing for Horner syndrome. Current Neurology and Neuroscience Reports 2009;9:384.
- Davagnanam I, et al. Adult Horner's syndrome: A combined clinical, pharmacological, and imaging algorithm. Eye 2013;27:291.
- Al-Moosa A, et al. Neuroimaging yield in isolated Horner syndrome. Current Opinion in Ophthalmology 2011;22:468.
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