Sakamakon ciwon jijiyar tausayi na ido, Claude Bernard-Horner ciwo yana bayyana kansa ta hanyar ptosis na fatar ido na sama, raguwar almajiri da rashin gumi a gefen fuska. Yana iya zama alamar cututtukan cututtuka.

definition

Claude Bernard-Horner ciwo ciwo ne na jijiyoyi da ke shafar sashin fuska, musamman ido.

Sanadin

Claude Bernard-Horner ciwo na iya faruwa ba tare da bata lokaci ba (siffa ta farko), ko kuma ta kasance sakamakon rauni na zaruruwan tsarin juyayi mai juyayi wanda ke jawo sararin samaniya. Wasu daga cikinsu suna gangarowa tare da kashin baya, suna fitowa don fitowa a cikin thorax sannan su sama tare da wuyansa zuwa ido. Har ila yau, rauni ko matsawa a kan hanyar waɗannan ƙwayoyin jijiyoyi na iya haifar da ciwo na Claude Bernard-Horner. Wannan rauni na iya zama tsakiya (a cikin kwakwalwa) ko na gefe (a cikin akwati mai tausayi na mahaifa). Wato:

• cututtuka na carotid;
• wani haɗari na jijiyoyin bugun jini;
• lymphadenopathy na mahaifa (lymph nodes a cikin wuyansa);
• wani ƙari, musamman na huhu, wanda ke danne jijiyar tausayi;
• tiyatar kashin mahaifa (rare).

Yi la'akari da cewa akwai kuma nau'i na nau'i na Claude Bernard-Horner ciwo.

bincike

Tabbatar da ganewar asali na Claude-Bernard-Horner ciwo yana dogara ne akan shigar da zubar da ido na cocaine (4 ko 10%) ko apraclonidine (0,5 ko 1%). Cocaine a kaikaice sympathomometic: yana sa dilation na dalibi. A cikin ciwo na Claude Bernard-Horner, wanda abin ya shafa ba zai yi nisa ba kamar sauran ɗalibin. Apraclonidine, a nata bangare, yana da wani aiki akan wasu masu karɓa don haɓakar ɗalibi. A cikin lamarin Claude Bernard-Horner ciwo, zai haifar da dilation na dalibi.

Idan an tabbatar da ganewar cutar Claude Bernard-Horner, bayan sa'o'i 48 za a iya yin gwajin ido ta hanyar amfani da digo na hydroxyamphetamine don gano raunin da ya faru, pre- ko postganglionic.

Claude-Bernard-Horner ciwo triad, ciwon unilateral a kai, fuska da wuyansa da kuma, 'yan sa'o'i ko kwanaki daga baya, ipspheric ko ipsilateral retinal ischemia nuna carotid dissection. Doppler launi na mahaifa sannan shine gwajin layin farko.

Dangane da mahallin asibiti, MRI na kwakwalwa, kashin baya, thorax ko wuyansa za a iya ba da izini don gano wuri mai rauni, da kuma gano yiwuwar cututtuka a asalin ciwon.

Mutanen da abin ya shafa

Claude Bernard-Horner ciwo zai iya faruwa a kowane zamani.

Alamun Claude Bernard-Horner ciwo suna bayyana a gefen fuska inda zaruruwan jijiyoyi suka lalace. Suna haɗawa:

• fatar ido na sama: fatar ido na sama na faduwa saboda gurguncewar zabar tsoka mai santsi da ke hade da levator na fatar ido na sama;
• gini na almajiri (miosis), saboda gurgunta tsokar dilator na almajiri. Almajiri yana kunkuntar, amma gabaɗaya ba tare da tasiri akan hangen nesa ba, ko kuma da wuya akan ganin dare a wasu marasa lafiya;
• rage gumi a gefen fuskar da abin ya shafa, wani lokaci tare da jajayen yanayi.

Don magance ciwon Claude Bernard-Horner, tambaya ce ta magance dalilin a asalin cutar Claude Bernard-Horner.