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Images in Clinical Medicine
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Volume 337:1359 November 6, 1997 Number 19
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Pancoast's Syndrome

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Figure 1A.



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Figure 1. A 53-year-old man was evaluated because of a one-month history of anisocoria and left-sided ptosis of 1 mm (Panel A). He had had pain and numbness of the left arm and decreased sweating on the left side of his face for the previous nine months. The anisocoria was most pronounced in darkness. Testing with local application of a 10 percent cocaine solution to both eyes produced dilation only of the contralateral pupil; the miotic pupil failed to dilate. The cocaine test establishes the diagnosis of Horner's syndrome when the pupil on the side of sympathetic interruption fails . . . [Full Text of this Article]

 

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