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Suggest Remedy For Droopy Eyelids And Low BP
Question: I just found out I have Horners Syndrome. Problem is, I have a Plate, Two Rods and Twelve screws in my neck from two previous surgeries. Neurologists don't know what to do as they cannot see past the artifacts in my neck to see what is causing the problem. I have a droopy eyelid and get very low blood pressure when I sit up and stand up, causing me to become dizzy.
They said if I thought it was hard to find a surgeon between the first and second operation, the likelihood of me finding a surgeon for this problem is slim to none.
They know it will get worse. My lifestyle right now stinks.
What do I do or better yet, where do I go to get help?
They said if I thought it was hard to find a surgeon between the first and second operation, the likelihood of me finding a surgeon for this problem is slim to none.
They know it will get worse. My lifestyle right now stinks.
What do I do or better yet, where do I go to get help?
Brief Answer:
Decrease drugs and take adequate fluid and physiotherapy
Detailed Answer:
Hello dear,
I have gone through your question and understand your concerns.
Horners syndrome is characterized by ptosis, miosis, anhydrosis, enopthalmos and loss of ciliospinal reflex.
It is usually of three types according to location of lesion first order, second order and third order neuron.
In your case as there has been operation of cervical disc possibility of first order neuron is most.
To look for any structural cause in cord, Mri is required.
To look for other causes CT of thorax or neck region may be done.
Most probably the cause of horners syndrome in your case is development of syrinx in cervical region post surgery.
Presyncopal attacks may also be due to compression of vessels in neck.
I will advise you to consult a physiotherapist for proper neck exercises and take adequate fluid.
The drugs have also side effects and needs to be decreased if pain is under control after consulting a neurologist.
Hope you recover early
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Decrease drugs and take adequate fluid and physiotherapy
Detailed Answer:
Hello dear,
I have gone through your question and understand your concerns.
Horners syndrome is characterized by ptosis, miosis, anhydrosis, enopthalmos and loss of ciliospinal reflex.
It is usually of three types according to location of lesion first order, second order and third order neuron.
In your case as there has been operation of cervical disc possibility of first order neuron is most.
To look for any structural cause in cord, Mri is required.
To look for other causes CT of thorax or neck region may be done.
Most probably the cause of horners syndrome in your case is development of syrinx in cervical region post surgery.
Presyncopal attacks may also be due to compression of vessels in neck.
I will advise you to consult a physiotherapist for proper neck exercises and take adequate fluid.
The drugs have also side effects and needs to be decreased if pain is under control after consulting a neurologist.
Hope you recover early
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Yogesh D
I just had a CT of the front of the neck and because of the artifacts they could not see everything and what they could see could not be determined if compression is being done.
My wife saw her doctor today and the doctor told her the only time she has seen Horners Syndrome is when someone has lung cancer, or, a problem in the neck on the side the face is distorted.
I'll see if I could reduce the Gralise down to 1200mg per day and the Oxycodone down to two 10mg rather than two 20mg.
Would the Horners have an impact on the blood pressure? XXXXXXX
My wife saw her doctor today and the doctor told her the only time she has seen Horners Syndrome is when someone has lung cancer, or, a problem in the neck on the side the face is distorted.
I'll see if I could reduce the Gralise down to 1200mg per day and the Oxycodone down to two 10mg rather than two 20mg.
Would the Horners have an impact on the blood pressure? XXXXXXX
Brief Answer:
Continue as advised
Detailed Answer:
Hello dear,
Horners syndrome doesn't have direct relationship to blood pressure but sympathetic system involvement occurs which can also lead to blood pressure variability.
That's true most second order neuron involvement is due to lesions at neck and lung apex.
First order neuron may be due to involvement at cord level probably syrinx.
If CT neck is not showing any tumor or mass then it's a bit reassuring.
You need to continue drug, physiotherapy and precautions.
Regards
Dr Neeraj Kumar
Neurologist
Continue as advised
Detailed Answer:
Hello dear,
Horners syndrome doesn't have direct relationship to blood pressure but sympathetic system involvement occurs which can also lead to blood pressure variability.
That's true most second order neuron involvement is due to lesions at neck and lung apex.
First order neuron may be due to involvement at cord level probably syrinx.
If CT neck is not showing any tumor or mass then it's a bit reassuring.
You need to continue drug, physiotherapy and precautions.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Shanthi.E
Would a CT Scan of my Thorax be helpful? Would it eliminate many of the "could be this or that"?
Brief Answer:
Yes, CT thorax will be helpful
Detailed Answer:
Hello dear,
Yes CT thorax will rule out any other lesion in chest.
That will surely help in narrowing down the differential diagnosis.
Do get back to me with reports.
Regards
Dr Neeraj Kumar
Neurologist
Yes, CT thorax will be helpful
Detailed Answer:
Hello dear,
Yes CT thorax will rule out any other lesion in chest.
That will surely help in narrowing down the differential diagnosis.
Do get back to me with reports.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
I'll have one of the doctors schedule it.
Your answers have been very helpful, and if I have any other questions, I'll definitely ask you and will send you the results as soon as I get them.
Thank You for helping me understand a lot better.
One more question. When I was shooting billiards, bending over and tilting me head up, that is when the dizziness started. A brain MRI showed that I have "mild bilateral chronic mastoiditis". A cervical MRI showed "there is uncovertebral joint changes noted bilaterally with severe bilateral foraminal stenosis". They were done back in March.
Could any of these be a cause for Horners or low blood pressure?
Your answers have been very helpful, and if I have any other questions, I'll definitely ask you and will send you the results as soon as I get them.
Thank You for helping me understand a lot better.
One more question. When I was shooting billiards, bending over and tilting me head up, that is when the dizziness started. A brain MRI showed that I have "mild bilateral chronic mastoiditis". A cervical MRI showed "there is uncovertebral joint changes noted bilaterally with severe bilateral foraminal stenosis". They were done back in March.
Could any of these be a cause for Horners or low blood pressure?
Brief Answer:
less likely cause of horners and hypotension by foraminal stenosis
Detailed Answer:
Hello Dear,
Neck movement with foraminal and canal stenosis in neck may cause dizziness and associated blood pressure fall transiently. But prolonged hypotension and Horner's syndrome is unlikely.
You should take ample fluid intake with neck physiotherapy and postural training for pre-syncopal symptoms.
Do get back to me for further queries by putting a direct query on my name.
Always here to help you.
Regards
Dr Neeraj Kumar
Neurologist
less likely cause of horners and hypotension by foraminal stenosis
Detailed Answer:
Hello Dear,
Neck movement with foraminal and canal stenosis in neck may cause dizziness and associated blood pressure fall transiently. But prolonged hypotension and Horner's syndrome is unlikely.
You should take ample fluid intake with neck physiotherapy and postural training for pre-syncopal symptoms.
Do get back to me for further queries by putting a direct query on my name.
Always here to help you.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
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