J Korean Ophthalmol Soc.  1998 Sep;39(9):2201-2205.

A Case of Ross' Syndrome with Horner's Syndrome

Affiliations
  • 1Department of Ophthalmology, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.
  • 2Department of Neurology, College of Medicine Seoul National Universtiy, Seoul, Korea.

Abstract

Ross syndreome is a rare peripheral nervous system disorder defined by Adie' tonic pupil, hyporeflexia, and segmental anhidrosis. The pathogenesis is believed to result from damage to the ganglion cells or postganglionic fibers, including sympathetic, parasympathetic and dorsal root ganglion cells. A 46 year-old woman complained of right ptosis and decreased sweating of right face. The pupil showed anisocoria, which was evaluated under the variable conditions and recorded with the pupillography using Infrared Scanning Laser Photography(HRA , Heidelberg engineering, Germany). The neurologic examinations including starch-iodine test demonstrated areflexia of lower limbs and hypohidrosis of right face. The above examinations provided evidences that the sympathetic and parasympathetic ganglion cells or the post ganglionic fibers were involved and the diagnosis of Ross syndrome with Horner syndrome was made.

Keyword

Horner syndrome; Infrared scanning laser photography; Ross syndrome

MeSH Terms

Anisocoria
Diagnosis
Female
Ganglia, Parasympathetic
Ganglia, Spinal
Ganglion Cysts
Horner Syndrome*
Humans
Hypohidrosis
Lower Extremity
Middle Aged
Neurologic Examination
Peripheral Nervous System
Pupil
Reflex, Abnormal
Sweat
Sweating
Tonic Pupil
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