Horners syndrome following double lumen dialysis catheter. Sa connaissance offre au clinicien des pistes diagnostiques notamment dans les pathologies mettant en jeu le pronostic vital. The rest of the ophthalmological examination was normal, and a cranial computed tomography ct did not identify any abnormalities. A cervical ct showed the presence of an accentuated lateral right convex deviation of the trachea, attributable to a fibrothorax. Interrupted aortic arch associated with pourfour du petit syndrome.
Pourfour du petit syndromehypersympathetic dysfunctional state following a direct nonpenetrating injury to the cervical sympathetic chain and brachial plexus you will receive an email whenever this article is corrected, updated, or cited in the literature. Francois pourfour du petit documented the ocular effects of sympathetic trunk lesions in animal studies in 1727. Pourfour du petit syndrome in a patient with thyroid. This syndrome is caused by hyperactivity of the ipsilateral oculosympathetic pathway and needs to be recognized because it has an opposite clinical presentation bu.
Pourfour du petit syndrome hypersympathetic dysfunctional state following a direct nonpenetrating injury to the cervical sympathetic chain and brachial plexus. Unilateral hyperhydrosis in pourfour du petit syndrome european. Pourfour du petit syndrome caused by traumatic pseudo. Pourfour du petit syndrome after supraclavicular catheter discontinuation katherine m. Interrupted aortic arch associated with pourfour du petit. Pdf 1 pourfour du petit syndrome caused by 2 traumatic. Mar, 2017 pourfour du petit pdp syndrome is a rare disorder characterized by ipsilateral mydriasis, eyelid retraction, and hemifacial hyperhidrosis caused by hyperactivity of the ipsilateral oculosympathetic pathway. We report on the case of a patient with pdps that presented with unilateral persistent isolated mydriasis six months prior to an ischemic. It is characterized by mydriasis, exophthalmos, eyelid re traction and hyperhidrosis. The clinical presentation of pourfour du petit syndrome pdps is the opposite of horner syndrome. Iatrogenic pourfour du petit syndrome common but transient.
The features of our patient were consistent with a rare but innocuous condition termed benign episodic unilateral mydriasis. Pourfour du petit syndrome information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues. The earliest observation of the ocular symptoms of horner syndrome was reported in 1727 by francois pourfour du petit, who described the effects of sectioning the vagosympathetic nerve trunk in dogs. 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. Pourfour du petit syndrome is the opposite of horner syndrome. Pourfour du petit syndrome associated with right eye pressure. Pourfour du petit syndrome after supraclavicular catheter discontinuation. Pourfour du petit syndrome, or reverse horner syndrome, is described as an overactive sympathetic nervous system, being characterized by mydriasis, eyelid retraction, and hyperhidrosis. Pourfour du petit syndrome in a patient with thyroid carcinoma. These clinical findings are the opposite of those accompanying horner syndrome hs, and pdps also is known as reverse hs. Persistent isolated mydriasis as an early sign of internal. Pourfour du petit syndrome pdps is a rare entity that presents as a reverse bhs, with mydriasis, eyelid retraction and hyperhidrosis.
The cause is oculosympathetic hyperactivity by ipsilateral irritation of the sympathetic cervical chain. Interscalene block is commonly associated with reversible ipsilateral phrenic nerve block, recurrent laryngeal nerve block, and cervical sympathetic plexus block, presenting as horners syndrome. However, pourfour du petit syndrome, the opposite of horner syndrome, m. Although all disorders underlying horner syndrome may potentially present as pdps, very few cases of the latter have been described in the literature. Signs and symptoms of reflex sympathetic dystrophy. Pourfour du petit syndrome is an uncommon cause of eyelid retraction, associated with unilateral mydriasis and hemifacial hyperhidrosis.
Pourfour du petit s experiments on the origin of the sympathetic nerve. Diagnosis of horners syndrome in dogs and cats in practice. Pdf the clinical presentation of pourfour du petit syndrome pdps is the opposite of horner syndrome. A reverse horners syndrome, otherwise known as pourfour du petit, in theory, is the opposite, and comprises eyelid retraction, mydriasis and hyperhidrosis. A case is presented of pdp syndrome associated with likely ipsilateral occipital neuralgia. Iatrogenic pourfour du petit syndrome common but transient recommend this title to your library. Horners syndrome was first described by francois pourfour du petit in 1727 as part of a series of experiments in dogs involving the induction of cervical and intercostal lesions. International journal of anesthetics and anesthesiology.
Unilateral hyperhydrosis in pourfour du petit syndrome. An uncommon case of intermittent pourfour du petit syndrome. Pourfour du petit syndrome associated with a cervical. 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. However, pourfour du petit syndrome, the opposite of horner syndrome, may result in unilateral upper limb hyperhydrosis.
The hs claude bernardhorner syndrome and its opposite, associated with internal jugular catheterization is pourfour du petit syndrome, in anesthesia and also postganglionic. We report herein two cases with pourfour du petit syndrome showing unilateral upper limb hyperhydrosis. In this article, we describe a new case of cervical. Pourfour du petit syndrome is a rare complication of a brachial plexus block, with only 2 cases reported in the literature. Johann friedrich horner and the repeated discovery of. A case of pourfour du petit syndrome following tumour surgery. The discovery of left unilateral mydriasis associated with exophthalmos and eyelid retraction suggest pourfour du petit. A 67 years old female is hospitalised for dysphagia, allowing the discovery of oesophagus carcinoma with mediastinal, pleural and costal extension. A case of pourfour du petit syndrome following parotidectomy.
We report a patient with pdps due to carotid compression by a thyroid tumor. Like bhs, it is caused by injuries in the sympathetic cervical chain. It consists of mydriasis, increased intraocular pressure, exophthalmos, widening of the rima palpebrarum, and changes in the connective tissue of the bulbus oculi and retinal vessels. International journal of anesthetics and anesthesiology is a bimonthly journal which accelerates the pace of research updates, discovery and innovation in various aspects of anesthetics and clinical anesthesiology. Claude bernard identified the full clinical triad in animal studies in 1852, and as a result, the condition is sometimes called bernard syndrome. In human patients, the syndrome is variably termed horners syndrome or bernardhorner syndrome, after claude bernard and johann friedrich horner who separately. Pourfour du petit syndrome pdps is a rare disorder characterized by mydriasis, eyelid retraction, and hyperhidrosis. Jan 01, 20 read pourfour du petit syndrome caused by traumatic pseudoaneurysm of the internal carotid artery, journal of pediatric neurology on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Pourfour du petit pdp syndrome is a rare disorder characterized by ipsilateral mydriasis, eyelid retraction, and hemifacial hyperhidrosis caused by hyperactivity of the ipsilateral oculosympathetic pathway. Pourfour du petit syndrome associated with right eye. It has not been department of surgery, university hospital, 6500 hb nijmegen, netherlands p h j m veldman md, h m reynen md, i e arntz md, r j a goris md. Pourfour du petit syndrome pdps is a rarely reported aetiology of unilateral mydriasis, lid retraction and exophthalmos. Pourfour du petit syndrome, rarely reported, is the opposite of claude bernardhorner syndrome. 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.
The authors describe a 45yearold woman with iris heterochromia, who presented with episodes of ipsilateral mydriasis and hyperhidrosis and was found to have a cervical vertebral anomaly. Pdf pourfour du petit syndrome in a patient with thyroid carcinoma. Upper limp hyperhydrosis is an idiopathic disease with bilateral involvement. Pourfour du petit syndrome presenting as subdural block. The first page of the pdf of this article appears above. Pourfour du petit syndrome after interscalene block.
Aug 01, 2004 read unilateral hyperhydrosis in pourfour du petit syndrome, european journal of cardiothoracic surgery on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Pourfour du petit syndrome is a rare dysautonomic disorder characterized by mydriasis, eyelid retraction, and hyperhidrosis and is caused by irritative stimulation of the sympathetic cervical chain. Pourfour du petit syndrome has the same localisation value and the same aetiologies as claude bernardhorner syndrome, but its mechanism proceeds byan exciting lesion of cervical sympathetic. Francois pourfour du petit eponym used to indicate an oculopupillary disease due to an irritation of the sympathetic nervous system. It occurs following hyperactivity of the sympathetic cervical chain as a consequence of irritation secondary to trauma. Pourfour du petit syndrome after supraclavicular catheter.