Horner's syndrome: Components

"Horny PAMELa"

  • Ptosis
  • Anhidrosis
  • Miosis
  • Enophthalmos (apparent)
  • Loss of ciliospinal reflex

Alternatively  SAMPLE - to include Sympathetic nerve injury to the list

4.5

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imageThe enophthalmos in Horner's is only an optical illusion caused by ptosis and the small pupil of the affected eye.
imageAnhidrosis or lack of sweating in Horner's involves ipsilateral half of face and neck, whole of upper limb and thorax upto third rib or third thoracic spine.

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