DR.DR. NIKILA PALANICHAMY

DR. MAHESH KUMAR

Abstract

A 27 year old male came with history of trauma to left side of neck while participating in Bull taming sport (Jallikattu) 1 month back and drooping of Left eyelid since 2 weeks.Visual acuity-6/6 in BE.On examination, LE shows mild ptosis with MRD 1:2mm, Pupil is 2mm in size with normal reaction to light where as RE Pupil is 4mm. Other findings are normal.On imaging CT neck revealed Fracture of posterior aspect of 1st and 2nd ribs.MRI showed Left Brachial plexus stretch injury involving C8T1 roots (Stellate ganglion).Diagnosis of Post-traumatic Preganglionic Horner’s syndrome was made. Horner’s syndrome is a rare complication of a neck trauma or surgery which is characterized by ipsilateral ptosis,miosis and anhydrosis. Among neck trauma,Horner’s is usually associated with penetrating injuries.It is uncommon to present as isolated Horner’s syndrome in absence of carotid artery injury.This is the first case of Horner’s syndrome being reported following a bull gore injury.