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Horner Syndrome as the Only Focal Neurologic Manifestation of Hypothalamic Hemorrhage

Sahin, Cansu, B., MD; Chaudhary, Neeraj, MD; Trobe, Jonathan, D., MD

Section Editor(s): McCulley, Timothy J. MD

Journal of Neuro-Ophthalmology: June 2018 - Volume 38 - Issue 2 - p 192–194
doi: 10.1097/WNO.0000000000000604
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Abstract: A 70-year-old woman suffered an anterior dorsal hypothalamic hemorrhage that caused an ipsilateral Horner syndrome (HS) as the only focal neurologic manifestation. This is only the second reported case of hypothalamic hemorrhage producing HS. Because HS was the sole focal neurologic manifestation, its confirmation with topical apraclonidine drops was a valuable clue toward prompt localization of the patient's confusional state.

Departments of Ophthalmology, Neurology, and Radiology (Neuroradiology), Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.

Address correspondence to Jonathan D. Trobe, MD, University of Michigan, Ann Arbor, MI; E-mail:

The authors report no conflicts of interest.

© 2018 by North American Neuro-Ophthalmology Society