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Horner’s syndrome (HS) occurs as a result of a lesion anywhere along the oculosympathetic pathway and includes the classic triad of unilateral ptosis, miosis, and facial anhidrosis.1 The nasal mucosa has a complex autonomic supply, disruption of the sympathetic element producing nasal obstruction. Nasal obstruction is not recognized as a typical feature of HS, but it can be seen in patients with HS after sympathectomy.2,3⇓ We reported two infants with HS who had contralateral rhinorrhea caused by ipsilateral nasal obstruction. Contralateral rhinorrhea could be the key for the diagnosis of HS in infants, who cannot complain of stuffiness.
Case 1.
This 11-month-old girl had been delivered vaginally at term without any complications, including brachial plexus injury. At age 9 months, she was referred to our hospital because of left ptosis and anhidrosis on the left side of the face noted by hermother shortly after birth. Her mother also noted that …
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