Question

A 78 year old grandmother presents for eval of weakness in her face. She has a longstanding history of HTN that has been under fair control. On physical exam you note that she has ptosis and miosis of the left eye and left facial anhidrosis. What is your most likely diagnosis?
A) Horner's syndrome
B) Anisocoria
C) Acute angle-closure glaucoma
D) Myasthenia gravis

Answer 1

Answer:

A) Horner's syndrome

Explanation:

Horner's syndrome:

Horner syndrome occurs due to damage of nerve pathway from brain to eye and face.

In this condition particularly damage one side of the face and eye of the patient.

Symptoms:

Its symptoms include:

• Miosis (pupil will become small)

• ptosis (upper eyelid will drooping)
• anisocoria (pupil size will be physically different between two eyes)
• anhidrosis (there will be no sweating or little in rare cases)

So, The above mentioned condition proves the presence of Horner's syndrome.