Pourfour du Petit Syndrome
The reverse Horner syndrome!
François Pourfour du Petit (1664–1741)
- 1st to describe
#MedTwitter #neurotwitter #EndNeurophobia #tweetorials
1/
The reverse Horner syndrome!
François Pourfour du Petit (1664–1741)
- 1st to describe
#MedTwitter #neurotwitter #EndNeurophobia #tweetorials
1/
Definition
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
2/
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
2/
Pathophysiology
oculosympathetic chain irritation causing the clinical signs of hyperactivity of the sympathetic pathway
- causes are the same as those for Horner syndrome
3/
oculosympathetic chain irritation causing the clinical signs of hyperactivity of the sympathetic pathway
- causes are the same as those for Horner syndrome
3/
Management
- resolve spontaneously
- clonidine
- sympathectomy
4/
- resolve spontaneously
- clonidine
- sympathectomy
4/
PPS associated with a cervical vertebral anomaly
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
- noticed at physical exercise
5/
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
- noticed at physical exercise
5/
PPS
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
6/
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
6/
PPS associated with internal carotid artery dissection
- hyperhidrosis
- eyelid retraction
- Fig b shows improvement after botox
7/
- hyperhidrosis
- eyelid retraction
- Fig b shows improvement after botox
7/
Horner syndrome & Pourfour du Petit syndrome associated with oesophagostomy tube placement in a cat
First developed Horner syndrome (a)
Later, Pourfour du Petit syndrome (b)
8/
First developed Horner syndrome (a)
Later, Pourfour du Petit syndrome (b)
8/
PPS after medullary thyroid carcinoma surgery
A) Day 5 after thyroid surgery, with right mydriasis and ipsilateral upper eyelid retraction.
B) Follow-up 2 months after thyroid surgery, with complete resolution
9/
A) Day 5 after thyroid surgery, with right mydriasis and ipsilateral upper eyelid retraction.
B) Follow-up 2 months after thyroid surgery, with complete resolution
9/
PPS associated with thyroid CA
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
10/
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
10/
PPS due to ipsilateral IJV distention
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
11/
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
11/
PPS associated with cluster headache
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
12/
“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”
12/
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