诊断

除了一般的医学检查外,医生还将进行其他检查以判断症状的性质并确定潜在病因。

确诊霍纳综合征的检查

医生可以根据您的病史以及对您症状的评估情况能够诊断霍纳综合征。

眼科医生还可能会在双眼中滴入滴眼液来帮助确诊,要么滴入散瞳正常瞳孔的滴眼液,要么滴入收缩正常瞳孔的滴眼液。通过比较健康眼睛的反应与可疑患眼的反应,医生可以确定神经损伤是否是导致可疑眼睛问题的原因。

测试以确定神经损伤的部位

某些表现突出的症状或其性质可能有助医生缩小霍纳综合征病因的搜索范围。您的医生还可能进行其他检查或要求您接受影像学检查,以确定病变或扰乱神经通路的异常。

您的医生可能开出一种眼药水,能让健康的眼睛明显扩张,而如果患有由三级神经元异常(颈部或上方某个位置受干扰)引起的霍纳综合征,受影响的眼睛几乎不会扩张。

您的医生可能会安排以下一项或多项影像学检查,以定位可能导致霍纳综合征的异常部位:

  • 磁共振成像(MRI),一种使用无线电波和磁场生成详细图像的技术
  • 颈动脉超声
  • 胸部 X 线检查
  • 计算机断层成像(CT),一种专业的 X 线技术
  • X 线影像学检查

治疗

尚且没有专门针对霍纳综合征的治疗方法。通常,当基础病得到有效治疗后,霍纳综合征就会消失。

准备您的预约

在大多数非紧急情况下,您会先去看家庭医生或眼科专家(眼科医生)。您可能会被转诊给专门治疗神经系统疾病的医生(神经内科医生)或专门治疗神经疾病以及影响眼睛和视路的专家(神经眼科医生)。

您可以做什么

就诊前,请列一张包含以下内容的清单:

  • 可能会引起担忧的体征或症状(或任何反常变化)
  • 过去和最近患有的疾病或损伤
  • 所有药物(包括非处方药和膳食补充剂)以及每种药物的服用剂量
  • 生活中的重大变化或压力

如果可能的话,向医生提供相对较新的照片(必须是在症状出现之前拍摄的照片)。这些图片有助于医生评估患眼当前的状况。

医生可能做些什么

医生会记录您的症状并进行常规的医学检查。医生可能会问一些问题,例如:

  • 您何时开始出现症状?
  • 症状是否随着时间的推移出现变化或恶化?
  • 您是否有癌症史?
  • 您最近是否有过损伤或创伤?
  • 您是否有过头部、颈部、肩部或手臂疼痛的经历?
  • 您是否有偏头痛或丛集性头痛的病史?

What you can do

Before your appointment, make a list that includes the following:

  • Your symptoms, including any changes that cause you concern
  • Key personal information, including past and recent illnesses and injuries as well as any stresses in your life
  • All medications, vitamins or other supplements you take, including the doses
  • Questions to ask your provider

Take a family member or friend along, if possible, to help you remember the information you're given.

Basic questions to ask your provider include:

  • What's likely causing my symptoms?
  • Other than the most likely cause, what are other possible causes for my symptoms?
  • What tests do I need?
  • Is my condition likely temporary or chronic?
  • What's the best course of action?
  • Will I need any follow-up tests or evaluation?

If possible, bring some relatively recent photographs — ones that were taken before the onset of symptoms — to your appointment. These images may help your doctor assess the current condition of your affected eye.

What to expect from your doctor

Your doctor is likely to take a history of your symptoms and conduct a general medical examination. He or she is likely to ask you a number of questions, including:

  • When did you begin experiencing symptoms?
  • Have the symptoms changed or worsened over time?
  • Do you have a history of cancer?
  • Have you experienced any recent injury or trauma?
  • Have you experienced any head, neck, shoulder or arm pain?
  • Do you have a history of migraines or cluster headaches?
July 02, 2022
  1. Ropper AH, et al. Disorders of ocular movement and pupillary function. In: Adams & Victor's Principles of Neurology. 10th ed. New York, N.Y.: The McGraw-Hill Companies; 2014. http://accessmedicine.mhmedical.com. Accessed March 2, 2018.
  2. Kedar S, et al. Horner's syndrome. https://www.uptodate.com/contents/search. Accessed March 2, 2018.
  3. Horner's syndrome. National Organization for Rare Diseases. https://rarediseases.org/rare-diseases/horners-syndrome/. Accessed March 2, 2018.
  4. Horner's syndrome. National Center for Advancing Translational Sciences. https://rarediseases.info.nih.gov/diseases/6670/horners-syndrome. Accessed March 2, 2018.