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June 1988

Horner's Syndrome in Temporal Arteritis

Author Affiliations

Department of Neurology The New York Hospital-Cornell University Medical Center New York, NY 10021
Department of Ophthalmology Manhattan Eye, Ear, and Throat Hospital New York, NY 10021

Arch Neurol. 1988;45(6):604. doi:10.1001/archneur.1988.00520300018011

To the Editor.   —Though ptosis occasionally occurs with temporal arteritis,1,2 Horner's syndrome has apparently been reported only once in association with this condition. Bell et al3 described an 81-year-old man with headache, fatigue, and ischemic optic neuropathy who had an ipsilateral ptosis and miosis that responded to hydroxyamphetamine infusion. Because of concomitant nystagmus and preganglionic oculosympathetic paresis, the diagnosis of brain-stem infarction was made. We now report a case of postganglionic Horner's syndrome associated with temporal arteritis.

Report of a Case.  —A 67-year-old woman, with a history of hypertension and diabetes mellitus, was referred for neurologic consultation in March 1986 for headache of two to three months' duration. She noted a dull ache, with occasional sharp exacerbations, in the right temporomastoid area. This had increased over several weeks before subsiding somewhat with the use of aspirin. Approximately one month after onset of the headache, she noted drooping of

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