Cortico–hypothalamic pathway of Horner syndrome derived from isolated lenticulostriate stroke
Backgrounds Horner syndrome presents with ipsilateral ptosis, miosis, and anhidrosis due to interruption of the oculosympathetic pathway. Patients with acute ischemic stroke may present with Horner syndrome, which may help locate the lesion. However, the underlying pathways involved in Horner syndro...
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| Veröffentlicht in: | Clinical autonomic research 2023-02, Vol.33 (1), p.63-67 |
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| creator | Wu, Li Luo, Ming Jiang, Yongjun |
| description | Backgrounds
Horner syndrome presents with ipsilateral ptosis, miosis, and anhidrosis due to interruption of the oculosympathetic pathway. Patients with acute ischemic stroke may present with Horner syndrome, which may help locate the lesion. However, the underlying pathways involved in Horner syndrome caused by isolated lenticulostriate ischemic stroke remain unclear.
Methods
We screened consecutive patients with acute ischemic stroke admitted to the Second Affiliated Hospital of Guangzhou Medical University from 1 January 2020 to 31 December 2021, and searched for cases of isolated lenticulostriate strokes presenting with Horner syndrome. Strokes involving the brainstem or hypothalamus, or those caused by carotid dissection or carotid cavernous fistula were excluded based on neuroimaging and cerebrovascular examination.
Results
Among the 1706 acute stroke patients, three patients developed temporary or long-term Horner syndrome due to an ipsilateral lenticulostriate ischemic lesion. Diffusion-tensor imaging revealed disruption of an uncrossed pathway from Brodmann areas 3, 1, and 2 through the basal ganglia to the ipsilateral hypothalamus.
Conclusion
These findings suggest that Horner syndrome may be due to a disruption of an uncrossed cortico-basal ganglia-hypothalamic sympathetic pathway. |
| doi_str_mv | 10.1007/s10286-022-00914-w |
| format | Article |
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Horner syndrome presents with ipsilateral ptosis, miosis, and anhidrosis due to interruption of the oculosympathetic pathway. Patients with acute ischemic stroke may present with Horner syndrome, which may help locate the lesion. However, the underlying pathways involved in Horner syndrome caused by isolated lenticulostriate ischemic stroke remain unclear.
Methods
We screened consecutive patients with acute ischemic stroke admitted to the Second Affiliated Hospital of Guangzhou Medical University from 1 January 2020 to 31 December 2021, and searched for cases of isolated lenticulostriate strokes presenting with Horner syndrome. Strokes involving the brainstem or hypothalamus, or those caused by carotid dissection or carotid cavernous fistula were excluded based on neuroimaging and cerebrovascular examination.
Results
Among the 1706 acute stroke patients, three patients developed temporary or long-term Horner syndrome due to an ipsilateral lenticulostriate ischemic lesion. Diffusion-tensor imaging revealed disruption of an uncrossed pathway from Brodmann areas 3, 1, and 2 through the basal ganglia to the ipsilateral hypothalamus.
Conclusion
These findings suggest that Horner syndrome may be due to a disruption of an uncrossed cortico-basal ganglia-hypothalamic sympathetic pathway.</description><identifier>ISSN: 0959-9851</identifier><identifier>EISSN: 1619-1560</identifier><identifier>DOI: 10.1007/s10286-022-00914-w</identifier><identifier>PMID: 36507977</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Basal ganglia ; Brain stem ; Cardiology ; Diabetes ; Endocrinology ; Face ; Gastroenterology ; Horner Syndrome - etiology ; Humans ; Hypothalamus ; Innervation ; Ischemia ; Ischemic Stroke - complications ; Medicine ; Medicine & Public Health ; Neuroimaging ; Neurology ; Ophthalmology ; Patients ; Research Article ; Stroke ; Stroke - complications ; Sympathetic nervous system</subject><ispartof>Clinical autonomic research, 2023-02, Vol.33 (1), p.63-67</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-bf06d6babb20bd6081dc48dbf7b36c18723debc979ef4e693e7f6b3f5cf5bcd03</citedby><cites>FETCH-LOGICAL-c375t-bf06d6babb20bd6081dc48dbf7b36c18723debc979ef4e693e7f6b3f5cf5bcd03</cites><orcidid>0000-0003-0210-6928 ; 0000-0003-2405-7370</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10286-022-00914-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10286-022-00914-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36507977$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Li</creatorcontrib><creatorcontrib>Luo, Ming</creatorcontrib><creatorcontrib>Jiang, Yongjun</creatorcontrib><title>Cortico–hypothalamic pathway of Horner syndrome derived from isolated lenticulostriate stroke</title><title>Clinical autonomic research</title><addtitle>Clin Auton Res</addtitle><addtitle>Clin Auton Res</addtitle><description>Backgrounds
Horner syndrome presents with ipsilateral ptosis, miosis, and anhidrosis due to interruption of the oculosympathetic pathway. Patients with acute ischemic stroke may present with Horner syndrome, which may help locate the lesion. However, the underlying pathways involved in Horner syndrome caused by isolated lenticulostriate ischemic stroke remain unclear.
Methods
We screened consecutive patients with acute ischemic stroke admitted to the Second Affiliated Hospital of Guangzhou Medical University from 1 January 2020 to 31 December 2021, and searched for cases of isolated lenticulostriate strokes presenting with Horner syndrome. Strokes involving the brainstem or hypothalamus, or those caused by carotid dissection or carotid cavernous fistula were excluded based on neuroimaging and cerebrovascular examination.
Results
Among the 1706 acute stroke patients, three patients developed temporary or long-term Horner syndrome due to an ipsilateral lenticulostriate ischemic lesion. Diffusion-tensor imaging revealed disruption of an uncrossed pathway from Brodmann areas 3, 1, and 2 through the basal ganglia to the ipsilateral hypothalamus.
Conclusion
These findings suggest that Horner syndrome may be due to a disruption of an uncrossed cortico-basal ganglia-hypothalamic sympathetic pathway.</description><subject>Basal ganglia</subject><subject>Brain stem</subject><subject>Cardiology</subject><subject>Diabetes</subject><subject>Endocrinology</subject><subject>Face</subject><subject>Gastroenterology</subject><subject>Horner Syndrome - etiology</subject><subject>Humans</subject><subject>Hypothalamus</subject><subject>Innervation</subject><subject>Ischemia</subject><subject>Ischemic Stroke - complications</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroimaging</subject><subject>Neurology</subject><subject>Ophthalmology</subject><subject>Patients</subject><subject>Research Article</subject><subject>Stroke</subject><subject>Stroke - complications</subject><subject>Sympathetic nervous system</subject><issn>0959-9851</issn><issn>1619-1560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kL9uFDEQhy1ERI6DF6BAK9HQLBnbZ3tdohOQSJFooLb8Z8xt2F0f9i6n63gH3jBPguESkChSjcb-5jejj5AXFN5QAHVRKLBOtsBYC6Dppj08IisqqW6pkPCYrEAL3epO0HPytJQbACo6Tp-Qcy4FKK3UiphtynPv0-2Pn7vjPs07O9ix983ezruDPTYpNpcpT5ibcpxCTiM2AXP_HUMTa9f0JQ12rt2AU81ZhlTm3NeXptb0FZ-Rs2iHgs_v6pp8fv_u0_ayvf744Wr79rr1XIm5dRFkkM46x8AFCR0NftMFF5Xj0tNOMR7Qea00xg1KzVFF6XgUPgrnA_A1eX3K3ef0bcEym7EvHofBTpiWYpgSXEopqKzoq__Qm7TkqV5XqY4xJlRdtybsRPmcSskYzT73o81HQ8H81m9O-k3Vb_7oN4c69PIuenEjhr8j974rwE9AqV_TF8z_dj8Q-wuv2ZSQ</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Wu, Li</creator><creator>Luo, Ming</creator><creator>Jiang, Yongjun</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0210-6928</orcidid><orcidid>https://orcid.org/0000-0003-2405-7370</orcidid></search><sort><creationdate>20230201</creationdate><title>Cortico–hypothalamic pathway of Horner syndrome derived from isolated lenticulostriate stroke</title><author>Wu, Li ; Luo, Ming ; Jiang, Yongjun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-bf06d6babb20bd6081dc48dbf7b36c18723debc979ef4e693e7f6b3f5cf5bcd03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Basal ganglia</topic><topic>Brain stem</topic><topic>Cardiology</topic><topic>Diabetes</topic><topic>Endocrinology</topic><topic>Face</topic><topic>Gastroenterology</topic><topic>Horner Syndrome - etiology</topic><topic>Humans</topic><topic>Hypothalamus</topic><topic>Innervation</topic><topic>Ischemia</topic><topic>Ischemic Stroke - complications</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroimaging</topic><topic>Neurology</topic><topic>Ophthalmology</topic><topic>Patients</topic><topic>Research Article</topic><topic>Stroke</topic><topic>Stroke - complications</topic><topic>Sympathetic nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Li</creatorcontrib><creatorcontrib>Luo, Ming</creatorcontrib><creatorcontrib>Jiang, Yongjun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical autonomic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Li</au><au>Luo, Ming</au><au>Jiang, Yongjun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cortico–hypothalamic pathway of Horner syndrome derived from isolated lenticulostriate stroke</atitle><jtitle>Clinical autonomic research</jtitle><stitle>Clin Auton Res</stitle><addtitle>Clin Auton Res</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>33</volume><issue>1</issue><spage>63</spage><epage>67</epage><pages>63-67</pages><issn>0959-9851</issn><eissn>1619-1560</eissn><abstract>Backgrounds
Horner syndrome presents with ipsilateral ptosis, miosis, and anhidrosis due to interruption of the oculosympathetic pathway. Patients with acute ischemic stroke may present with Horner syndrome, which may help locate the lesion. However, the underlying pathways involved in Horner syndrome caused by isolated lenticulostriate ischemic stroke remain unclear.
Methods
We screened consecutive patients with acute ischemic stroke admitted to the Second Affiliated Hospital of Guangzhou Medical University from 1 January 2020 to 31 December 2021, and searched for cases of isolated lenticulostriate strokes presenting with Horner syndrome. Strokes involving the brainstem or hypothalamus, or those caused by carotid dissection or carotid cavernous fistula were excluded based on neuroimaging and cerebrovascular examination.
Results
Among the 1706 acute stroke patients, three patients developed temporary or long-term Horner syndrome due to an ipsilateral lenticulostriate ischemic lesion. Diffusion-tensor imaging revealed disruption of an uncrossed pathway from Brodmann areas 3, 1, and 2 through the basal ganglia to the ipsilateral hypothalamus.
Conclusion
These findings suggest that Horner syndrome may be due to a disruption of an uncrossed cortico-basal ganglia-hypothalamic sympathetic pathway.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36507977</pmid><doi>10.1007/s10286-022-00914-w</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-0210-6928</orcidid><orcidid>https://orcid.org/0000-0003-2405-7370</orcidid></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Basal ganglia Brain stem Cardiology Diabetes Endocrinology Face Gastroenterology Horner Syndrome - etiology Humans Hypothalamus Innervation Ischemia Ischemic Stroke - complications Medicine Medicine & Public Health Neuroimaging Neurology Ophthalmology Patients Research Article Stroke Stroke - complications Sympathetic nervous system |
| title | Cortico–hypothalamic pathway of Horner syndrome derived from isolated lenticulostriate stroke |
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