What is a man’s syndrome in humans. The causes and symptoms of Gorner syndrome. Treatment of Gorner syndrome

Gorner syndrome in humans occurs due to damage to sympathetic nerves. Visually, this violation is manifested in the form of a lowered eyelid, a fallen eyeball, pupils of different sizes, as well as the colorfulness of the irides of the eye, in the case of an innate pathology. Gorner's treatment is not simple and requires constant neurological intervention. You can learn more about this violation from our article today.

Gorner's syndrome in humans: what is it

Gorner's syndrome is considered an abnormal condition that is determined by sympathetic damage to innervation.

Let's analyze in detail the structure of several parts of the human body. Scientists divide the human nervous system into somatic and vegetative. The latter, in turn, has the following departments:

• sympathetic;
• parasympathetic.

The fibers of the sympathetic system innervate all organs of the body. It is important to know that this department of the body is activated in stressful conditions. Innervation is implemented through a three -none arc:

• the initial neuron is a cell with susceptible osik, perceiving tissue data. The first neuron is located in the spinal center;
• the average neuron is insertive and is designed to transmit information to the last neuron;
• the final neuron performs the function of transmitting the pulse to the effector fiber (including smooth muscles).

In the presence of Gorner's syndrome, the sympathetic susceptibility of the smooth muscles of the eye and the corresponding half of the face is disturbed, as a result of which the message transmitted by the final neuron is not perceived.

Gorner syndrome: causes of violation

The causal series of Gorner syndrome is quite extensive. It is noteworthy that this defect can be both acquired and congenital and pool.

Scientists identify such the main causes of Gorner's syndrome:

• the influence of a physical nature during the intrauterine period on the chest or cervical chains of the sympathetic system. Physical influence is understood to mean both compression of this area and direct damage;
• the lateral medical syndrome, which entailed damage to the tissue structure of the brain;
• severe headaches that are characterized by squeezing the skull;
• tumors, in particular the pankost tumor;
• strong bruises of the base of the neck;
• aorta aneurysm;
• a cut of the sympathetic nerve on the neck;
• acute inflammatory processes in the middle ear;
• aneurysm shaft;
• surgical injuries in the cervical region;
• autoimmune diseases;
• locking nerve centers;
• thyroid tumors;
• neurofibromatosis of the first type;
• squeezing of a star -shaped nerve, as a result of the deformation of the cervical rib.

Gorner syndrome: symptoms

The symptoms of Gorner syndrome are manifested in the presence of the so-called Bernard Gorner triad. She includes:

• pupil fraud (pupils of different sizes);
• ptosis of the upper eyelid (manifests itself in the form of prolapse or falling of the upper eyelid);
• enophthalmus (the fusion of the eyeball).

The totality of these signs almost certainly indicates the presence of Gorner syndrome. It is also worth noting that with this violation only one half of the face suffers.

In addition to the above symptoms, it is also not rare to have a place:

• excessive sweating;
• lacrimation;
• hyperemia;
• violation of the photosensitivity of the affected eye;
• expansion of microscopic blood flow in the eyeball;
• heterochromia (in children).

Bernard-Gorner syndrome appears with damage to the eye muscles and the iris of the eye.

  Gorner syndrome: photo

Gorner syndrome on the left

Gorner Syndrome on the right

Gorner's syndrome in a child

Gorner syndrome: Diagnostics

Diagnosis of Gorner syndrome is not difficult. Already during a visual examination, you can see the triad described above and put forward a suspicion of the presence of this disease. In addition, a patient survey helps. For example, if the patient complains of migraines with a likely Gorner syndrome, then this is also an occasion to establish a diagnosis. The final point in the diagnosis of Bernard Gorner syndrome can be put by conducting simple medical tests.

1. Instillation of the eyes of the m-cholin block. As a rule, they are drops with cocaine sulfate. At the same time, a healthy eye will react with a sharp expansion of the pupil, the affected eye will remain in a constant state. In this way, an experienced doctor can determine the degree of defectiveness of the sympathetic nerves in the presence of this disease.
2. Eye delay time. With a gorner syndrome, a sore eye has low photosensitivity. To diagnose this disease, an ophthalmologist can measure the time during which the eye begins to respond to a change in lighting.
3. MRI. This examination is carried out more to establish the causes of the disease in its diagnosis.

If the presence of the disease is reliably established, then the patient is directed for treatment in neurology, since Gorner's syndrome is a neurological disorder.

Gorner syndrome: treatment

Gorner syndrome is a relatively harmless violation. This disease never leads to death and, if it manifests itself weakly, practically does not cause discomfort. Active treatment is performed only if the disease progresses rapidly and is in an active stage. To eliminate Gorner's syndrome, three main treatment methods are used:

• neurostimulating;
• symptomatic;
• causal.

First of all, to successfully eliminate the defect, it is necessary to find the cause of this disease and the therapeutic method to get rid of it. In most cases, the elimination of the cause of the violation is enough to stop the progression of the syndrome or completely get rid of it.

In severe cases, when the eyes are very strongly affected, neurostimulation with a current of weak tension is used. In the process of therapy, current is passed through neurons, activating the functioning of the muscles. It is worth noting that neurostimulation is a painful and dangerous procedure and an exceptional doctor should be performed, who treats Gorner's syndrome for a long period.

Since Gorner's syndrome leads to a non -aesthetic appearance, patients do not rarely turn to plastic surgeons for help. There are no life indications for the use of plastic surgery, but this procedure removes the consequences of the syndrome and returns a healthy look to the eye.

Bernara-Gorner syndrome: video