J Korean Neurol Assoc.  2016 Feb;34(1):57-61. 10.17340/jkna.2016.1.11.

Ross Syndrome with Segmental Anhidrosis and Anisocoria: Application of Finger Winkle Test

Affiliations
  • 1Department of Neurology, Pusan National University Yangsan Hospital, Yangsan, Korea. shinzh@gmail.com
  • 2Department of Neurology, MH Yeonse Hostpial, Changwon, Korea.

Abstract

Ross syndrome is characterized by a triad of segmental anhidrosis, tonic pupil, and generalized areflexia. Selective postganglionic autonomic denervation could be the differential diagnostic point for other diseases of the autonomic nervous system. Here we report a patient with regional anhidrosis in his left hand and sole, and anisocoria. An evaluation of sweating and the pupillary response together with generalized areflexia confirmed the diagnosis of Ross syndrome. The finger wrinkle test is a simple and useful tool for revealing segmental sympathetic denervation.

Keyword

Ross syndrome; Autonomic nervous system disease; Finger wrinkle test

MeSH Terms

Anisocoria*
Autonomic Denervation
Autonomic Nervous System
Diagnosis
Fingers*
Hand
Humans
Hypohidrosis*
Sweat
Sweating
Sympathectomy
Tonic Pupil
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