Síndrome de Horner: revision de la literatura

  • Aldair Buckcanan Vargas Hospital México, San José, Costa Rica. Residente de Neurocirugía.
  • Karen Fonseca Artavia Clínica Santa Mónica, San José, Costa Rica. Médico General.
  • Fernando Mora López Hospital CIMA, San José, Costa Rica. Médico General.
Palabras clave: Ptosis palpebral; anisocoria; anhidrosis; tallo cerebral; nervios autónomos Fuente: DeCS (Descriptores en Ciencias de la Salud)

Resumen

El Síndrome de Horner (SH) es una condición provocada por un grupo heterogéneo de patologías. Estas tienen en común el daño de la vía simpática. La localización más común de la lesión es a nivel preganglionar, por trauma o cirugías en región cervical, torácica o ápex pulmonar. El diagnóstico es primordialmente clínico mediante la identificación de la triada de miosis, ptosis y anhidrosis. Se confirma con las pruebas para cocaína e hidroximetanfetamina. El tratamiento se lleva a cabo primero con agentes farmacológicos. Los que tienen disminución del campo visual por la ptosis o por razones cosméticas se llevan a tratamiento quirúrgico. En ese caso los abordajes operatorios recomendados para ptosis leve son el procedimiento de Fasanella-Servat, el avance de aponeurosis del elevador y en casos severos el cabestrillo frontal. El objetivo es hacer una revisión de los algoritmos diagnósticos y terapéuticos del SH para lograr un abordaje sistemático debido a las múltiples etiologías que posee.

Citas

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Publicado
2020-11-17
Cómo citar
Buckcanan Vargas, A., Fonseca Artavia, K., & Mora López, F. (2020). Síndrome de Horner: revision de la literatura. Medicina Legal De Costa Rica, 37(1). Recuperado a partir de //www.binasss.sa.cr/ojssalud/index.php/mlcr/article/view/157