Syndrome pourfour du petit pdf

Pourfour du petit syndrome presenting as subdural block. A case of pourfour du petit syndrome following parotidectomy. Pdf 1 pourfour du petit syndrome caused by 2 traumatic. A case of pourfour du petit syndrome following tumour surgery. Iatrogenic pourfour du petit syndrome common but transient. The features of our patient were consistent with a rare but innocuous condition termed benign episodic unilateral mydriasis. Interscalene block is commonly associated with reversible ipsilateral phrenic nerve block, recurrent laryngeal nerve block, and cervical sympathetic plexus block, presenting as horners syndrome. A case is presented of pdp syndrome associated with likely ipsilateral occipital neuralgia. An uncommon case of intermittent pourfour du petit syndrome. Francois pourfour du petit eponym used to indicate an oculopupillary disease due to an irritation of the sympathetic nervous system. Pourfour du petit syndrome after interscalene block. Pourfour du petit syndrome, rarely reported, is the opposite of claude bernardhorner syndrome.

The hs claude bernardhorner syndrome and its opposite, associated with internal jugular catheterization is pourfour du petit syndrome, in anesthesia and also postganglionic. A cervical ct showed the presence of an accentuated lateral right convex deviation of the trachea, attributable to a fibrothorax. Signs and symptoms of reflex sympathetic dystrophy. Pourfour du petit syndrome information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues. Johann friedrich horner and the repeated discovery of. Pourfour du petit syndrome is a rare complication of a brachial plexus block, with only 2 cases reported in the literature. These clinical findings are the opposite of those accompanying horner syndrome hs, and pdps also is known as reverse hs. Horners syndrome is due to paralysis of the ipsilateral cervical sympathetic chain and comprises ptosis, miosis, enopthalmos and anhidrosis. Horners syndrome following double lumen dialysis catheter. It causes an ipsilateral mydriasis, which, in patients suffering a head injury as in the case reported here, can confuse the diagnosis and disconcert physicians. Claude bernard identified the full clinical triad in animal studies in 1852, and as a result, the condition is sometimes called bernard syndrome.

Pourfour du petit syndrome caused by traumatic pseudo. Pourfour du petit syndrome after supraclavicular catheter discontinuation. Pourfour du petit syndrome is an uncommon cause of eyelid retraction, associated with unilateral mydriasis and hemifacial hyperhidrosis. However, pourfour du petit syndrome, the opposite of horner syndrome, may result in unilateral upper limb hyperhydrosis. Aug 01, 2004 read unilateral hyperhydrosis in pourfour du petit syndrome, european journal of cardiothoracic surgery on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. The clinical presentation of pourfour du petit syndrome pdps is the opposite of horner syndrome. Although all disorders underlying horner syndrome may potentially present as pdps, very few cases of the latter have been described in the literature. Francois pourfour du petit documented the ocular effects of sympathetic trunk lesions in animal studies in 1727. Diagnosis of horners syndrome in dogs and cats in practice. We report on the case of a patient with pdps that presented with unilateral persistent isolated mydriasis six months prior to an ischemic. The discovery of left unilateral mydriasis associated with exophthalmos and eyelid retraction suggest pourfour du petit. Upper limp hyperhydrosis is an idiopathic disease with bilateral involvement. Like bhs, it is caused by injuries in the sympathetic cervical chain.

Pourfour du petit syndrome in a patient with thyroid. This syndrome is caused by hyperactivity of the ipsilateral oculosympathetic pathway and needs to be recognized because it has an opposite clinical presentation bu. The earliest observation of the ocular symptoms of horner syndrome was reported in 1727 by francois pourfour du petit, who described the effects of sectioning the vagosympathetic nerve trunk in dogs. Unilateral hyperhydrosis in pourfour du petit syndrome european. Persistent isolated mydriasis as an early sign of internal.

Jan 01, 20 read pourfour du petit syndrome caused by traumatic pseudoaneurysm of the internal carotid artery, journal of pediatric neurology on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Pourfour du petit syndrome is a rare dysautonomic disorder characterized by mydriasis, eyelid retraction, and hyperhidrosis and is caused by irritative stimulation of the sympathetic cervical chain. The rest of the ophthalmological examination was normal, and a cranial computed tomography ct did not identify any abnormalities. The authors describe a 45yearold woman with iris heterochromia, who presented with episodes of ipsilateral mydriasis and hyperhidrosis and was found to have a cervical vertebral anomaly.

Pdf pourfour du petit syndrome in a patient with thyroid carcinoma. Interrupted aortic arch associated with pourfour du petit. Unilateral hyperhydrosis in pourfour du petit syndrome. Horners syndrome was first described by francois pourfour du petit in 1727 as part of a series of experiments in dogs involving the induction of cervical and intercostal lesions. It has not been department of surgery, university hospital, 6500 hb nijmegen, netherlands p h j m veldman md, h m reynen md, i e arntz md, r j a goris md.

The cause is oculosympathetic hyperactivity by ipsilateral irritation of the sympathetic cervical chain. We report herein two cases with pourfour du petit syndrome showing unilateral upper limb hyperhydrosis. Pourfour du petit s experiments on the origin of the sympathetic nerve. Pourfour du petit syndrome associated with right eye pressure. Pourfour du petit syndrome, or reverse horner syndrome, is described as an overactive sympathetic nervous system, being characterized by mydriasis, eyelid retraction, and hyperhidrosis.

Pourfour du petit syndrome pdps is a rare disorder characterized by mydriasis, eyelid retraction, and hyperhidrosis. Pourfour du petit syndromehypersympathetic dysfunctional. In this article, we describe a new case of cervical. Mar, 2017 pourfour du petit pdp syndrome is a rare disorder characterized by ipsilateral mydriasis, eyelid retraction, and hemifacial hyperhidrosis caused by hyperactivity of the ipsilateral oculosympathetic pathway. It consists of mydriasis, increased intraocular pressure, exophthalmos, widening of the rima palpebrarum, and changes in the connective tissue of the bulbus oculi and retinal vessels. Pourfour du petit syndrome has the same localisation value and the same aetiologies as claude bernardhorner syndrome, but its mechanism proceeds byan exciting lesion of cervical sympathetic. Pourfour du petit syndrome after supraclavicular catheter discontinuation katherine m. Pourfour du petit syndrome pdps is a rarely reported aetiology of unilateral mydriasis, lid retraction and exophthalmos. Pourfour du petit syndrome is the opposite of horner syndrome. A reverse horners syndrome, otherwise known as pourfour du petit, in theory, is the opposite, and comprises eyelid retraction, mydriasis and hyperhidrosis.

Pourfour du petit syndrome pdps is a rare entity that presents as a reverse bhs, with mydriasis, eyelid retraction and hyperhidrosis. We report a very rare pourfour du petit syndrome which. Pourfour du petit syndrome associated with a cervical. International journal of anesthetics and anesthesiology. However, pourfour du petit syndrome, the opposite of horner syndrome, m. It is characterized by mydriasis, exophthalmos, eyelid re traction and hyperhidrosis. Pourfour du petit pdp syndrome is a rare disorder characterized by ipsilateral mydriasis, eyelid retraction, and hemifacial hyperhidrosis caused by hyperactivity of the ipsilateral oculosympathetic pathway. One case of pdps occurred after a singleshot supraclavicular block done by paresthesia technique,5 and the second case was associated with a singleshot interscalene block done using nerve stimulation. Poufour du petit syndrome is an extraordinarily unusual clinical condition produced by hyperactivity of the sympathetic cervical chain as a consequence of irritation of these nerves. Pourfour du petit syndromehypersympathetic dysfunctional state following a direct nonpenetrating injury to the cervical sympathetic chain and brachial plexus you will receive an email whenever this article is corrected, updated, or cited in the literature. Pourfour du petit syndrome associated with right eye.