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Year : 2020  |  Volume : 68  |  Issue : 11  |  Page : 2607-2610

Paediatric Horner Syndrome: How much further to investigate?

1 Jasti V Ramanamma Children's Eye Care Centre L.V. Prasad Eye Institute, Hyderabad, Telangana, India
2 Department of Ophthalmology Children's Hospital, Westmead, Australia
3 Department of Nuclear Medicine Children's Hospital, Westmead; Division of Imaging Sydney Medical School, University of Sydney, Sydney, Australia

Correspondence Address:
Dr. Maree Flaherty
Childrenfs Eye Centre, 73 Darcy Road Wentworthville 2145, Sydney
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1603_20

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We report an infant with an early-onset Horner syndrome and normal urinary catecholamine levels. Further investigations with Nuclear medicine imaging with123I-MIBG (meta-iodo benzyl-guanidine) confirmed a right thoracic inlet mass consistent with a neuroblastoma, a tumor of neural crest origin. The authors emphasize the need for investigating idiopathic acquired pediatric Horner syndrome and the value of an MIBG scan as a diagnostic test for suspected neuroblastoma.

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