Pourfour du petit syndrome is the opposite of horner syndrome. Pourfour du petit syndrome is an uncommon cause of eyelid retraction, associated with unilateral mydriasis and hemifacial hyperhidrosis. However, pourfour du petit syndrome, the opposite of horner syndrome, m. The discovery of left unilateral mydriasis associated with exophthalmos and eyelid retraction suggest pourfour du petit. Pdf pourfour du petit syndrome in a patient with thyroid carcinoma. Pourfour du petit syndrome after interscalene block. This syndrome is caused by hyperactivity of the ipsilateral oculosympathetic pathway and needs to be recognized because it has an opposite clinical presentation bu. Le syndrome du petit beur original version youtube. Horner syndrome, harlequin sign, pourfour du petit syndrome, anhidrosis, heterochromia, ptosis, miosis abbildung 1. Pdf the clinical presentation of pourfour du petit syndrome pdps is the opposite of horner syndrome. Although all disorders underlying horner syndrome may potentially present as pdps, very few cases of the latter have been described in the literature. Pourfour du petit syndrome in a patient with thyroid carcinoma. We described a case of pourfour du petit syndrome after cervical injury by gunshot, with a. We report a very rare pourfour du petit syndrome which.
The pourfour du petit s syndrome is characterized by the unilateral appearance of mydriasis, lid retraction and exophthalmos. It occurs following hyperactivity of the sympathetic cervical chain as a consequence of irritation secondary to trauma. Upper limp hyperhydrosis is an idiopathic disease with bilateral involvement. Poufour du petit syndrome is an extraordinarily unusual clinical condition produced by hyperactivity of the sympathetic cervical chain as a consequence of irritation of these nerves. It suggests the existence of a localized oculosympathetic hyperactivity. Pourfour du petit syndrome, rarely reported, is the opposite of claude bernardhorner syndrome.
Pourfour du petit syndrome in a patient with thyroid carcinoma article pdf available in case reports in neurology 22. It is characterized by mydriasis, exophthalmos, eyelid re traction and hyperhidrosis. We report the case of a patient with lung cancer and. The clinical presentation of pourfour du petit syndrome pdps is the opposite of horner syndrome.
One case of pdps occurred after a singleshot supraclavicular block done by paresthesia technique,5 and the second case was associated with a singleshot interscalene block done using nerve stimulation. We report herein two cases with pourfour du petit syndrome showing unilateral upper limb hyperhydrosis. Pourfour du petit syndrome in a patient with lung mucinous adenocarcinoma. A case of recurrent facial pain associated with a pourfour. Interrupted aortic arch associated with pourfour du petit. Unilateral hyperhydrosis in pourfour du petit syndrome. Pourfour du petit syndrome in a patient with lung mucinous. Pourfour du petit syndrome caused by traumatic pseudo. Pourfour du petit syndrome is also known as the reverse horner syndrome. Unilateral hyperhydrosis in pourfour du petit syndrome european. Pourfour du petit syndrome information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues. Interscalene block is commonly associated with reversible ipsilateral phrenic nerve block, recurrent laryngeal nerve block, and cervical sympathetic plexus block, presenting as horners syndrome. Owing to its clinical features, pdps is also known as. Pdps is a rare disorder characterized by mydriasis, eyelid retraction and hyperhidrosis.
Pourfour du petit syndrome is a rare complication of a brachial plexus block, with only 2 cases reported in the literature. Sa connaissance offre au clinicien des pistes diagnostiques notamment dans les pathologies mettant en jeu le pronostic vital. Pdf pourfour du petit syndrome in a patient with thyroid. There are very few cases reported in the medical literature. A case of recurrent facial pain associated with a pourfour du petit syndrome. Johann friedrich horner and the repeated discovery of. Pourfour du petit syndrome in a patient with thyroid. Pourfour du petit syndrome presenting as subdural block. We report a patient with pdps due to carotid compression by a thyroid tumor. Pourfour du petit syndrome, or reverse horner syndrome, is described as an overactive sympathetic nervous system, being characterized by mydriasis, eyelid retraction, and hyperhidrosis. It causes an ipsilateral mydriasis, which, in patients suffering a head injury as in the case reported here, can confuse the diagnosis and disconcert physicians.
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