Open AccessPaediatric Horner Syndrome: How much further to investigate?
Author(s) -
Manjushree Bhate,
Maree Flaherty,
Neil Rowe,
Robert HowmanGiles
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_1603_20
Subject(s) - medicine , neuroblastoma , neural crest , pheochromocytoma , horner syndrome , radiology , pathology , embryo , genetics , biology , microbiology and biotechnology , cell culture
We report an infant with an early-onset Horner syndrome and normal urinary catecholamine levels. Further investigations with Nuclear medicine imaging with 123 I-MIBG (meta-iodo benzyl-guanidine) confirmed a right thoracic inlet mass consistent with a neuroblastoma, a tumor of neural crest origin. The authors emphasize the need for investigating idiopathic acquired pediatric Horner syndrome and the value of an MIBG scan as a diagnostic test for suspected neuroblastoma.