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CASE REPORTS
JOURNAL ARTICLE
Early diagnosis of Horner syndrome using topical apraclonidine.
Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society 2011 September
The diagnosis of Horner syndrome (HS) using apraclonidine eye drops is an alternative to the use of topical cocaine drops. A number of reports have described the efficacy of apraclonidine testing, but there is some debate over its sensitivity in the acute setting. We describe a patient with HS secondary to carotid dissection who had a positive response to apraclonidine 3 hours after the onset of symptoms. The case is made for a larger study of apraclonidine use to determine its true sensitivity and specificity, identify confounding factors, and redefine the criteria for positive testing.
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