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June 1965

Gustatory Lid Retraction in Congenital Horner's Syndrome

Author Affiliations

Coral Gables; Miami, Fla
From the departments of ophthalmology and neurology, University of Miami School of Medicine, Miami, Fla, and the Division of Neuromedicine, Veterans Administration Hospital, Coral Gables, Fla.

Arch Ophthalmol. 1965;73(6):796-799. doi:10.1001/archopht.1965.00970030798008

Paradoxic autonomic response to the special afferent stimulus of taste has been thoroughly described in several well-recognized situations. These include gustatory sweating in Horner's syndrome1 and in the so-called auriculotemporal syndrome,2 and paradoxic lacrimation in acquired Bell's palsy with misdirected regenerations,3 as well as in congenital facial nerve palsy with weakness of the homolateral external rectus muscle.4 The authors wish to report what they believe to be the first recorded instance of retraction of the ptotic lid of congenital partial Horner's syndrome to strong gustatory stimulus and to discuss its implications.

Report of Case  A 14-year-old white female was examined because of ptosis of the right lid which had been present as long as the parents could remember. She was born in Colombia, South America, a full term infant after an uneventful gestation and uncomplicated vaginal delivery. Her developmental history was entirely normal except for the

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