Neurology Cranial Nerves

Horner’s Syndrome

Characterized by the triad of ptosis, miosis, and anhidrosis.

Patient 3

This is an older woman with an extensive smoking history complicated by chronic obstructive pulmonary disease who presented with progressive dyspnea and weight loss, and was found to have elevated jugular venous pressure, dilated chest wall veins, and Horner’s syndrome. Chest imaging revealed a left apical mass that was later determined to be non-small cell lung cancer.

This patient also has dilated chest wall veins related to superior vena cava syndrome.