#Acute unilateral miotic pupil full
#Acute unilateral miotic pupil series

The subject had full recovery of the nasal symptoms, but his right upper eyelid was drooping progressively. Analgesic, saline nasal irrigation, intranasal glucocorticoids, and amoxicillin-clavulanate 500 mg/125 mg orally tid over 7 days were started. He was diagnosed with acute rhinosinusitis. He had experienced purulent nasal discharge, nasal obstruction, and anosmia no headache was reported. On further questioning, the patient stated that he had searched a general practitioner about 1 month before the admission.

#Acute unilateral miotic pupil series

A cranial computed tomography (CT) scan (Aquillion 64, Toshiba/Canon, USA), a brain magnetic resonance imaging (Signa HDx Series 1.5 Tesla, General Eletrics, USA), a chest CT scan (Aquillion 64, Toshiba/Canon, USA), and a CT angiography (Integris Allura, Philips, Netherlands) of the head-neck were normal. Laboratory tests were within normal limits. The fundoscopy showed normal color, deep excavations, blood vessels, and the optic discs with clear borders. Anhidrosis was not observed, and the patient did not complain about it. The degree of anisocoria was more visible in the dark than in light, and a dilation lag was observed. The neurological examination revealed ptosis and miosis in the right eye. He was a previously healthy farmer, and his family history was negative for neurological diseases. Moreover, patients presenting with this presentation probably have a good prognosis.Ī 40-year-old male presenting with ptosis was admitted to our hospital. Our report suggests that sinusitis should be listed as a probable cause of isolated Horner’s syndrome. The present case is the first to present isolated HS features. To the authors’ knowledge, there are only two case reports of individuals who developed sinusitis and Horner’s syndrome. DiscussionĪ few cases of HS secondary to a sinus infection have been reported in the literature. In 1 year, the ptosis was minor with less than 1 mm and miosis was no more observed. In the follow-up, after the third month, the patient was recovering from ptosis and miosis. He had searched a general practitioner because of purulent nasal discharge, nasal obstruction, and anosmia.

Neurological examination revealed ptosis and miosis in the right eye. We report an adult male presenting with ptosis. Horner’s syndrome (HS) is characterized by unilateral ptosis, ipsilateral miosis with normally reactive pupil, and in some cases, ipsilateral facial anhidrosis.