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Neurology, Vol 45, Issue 11 2094-2096, Copyright © 1995 by American Academy of Neurology

ARTICLES

Site of autonomic dysfunction in a patient with Ross' syndrome and postganglionic Horner's syndrome

GI Wolfe, SL Galetta, JW Teener, JS Katz and SJ Bird
Department of Neurology, University of Texas Southwestern Medical Center, Dallas 75235-8897, USA.

Ross' syndrome is a rare peripheral nervous system disorder defined by Adie's tonic pupil, hyporeflexia, and segmental anhidrosis. Injury to postganglionic cholinergic fibers is believed to account for the tonic pupil and sweating disturbance. We report a 47-year-old man found to have Ross' syndrome in combination with a complete postganglionic Horner's syndrome. Pharmacologic and sudomotor tests in this unique patient provide further evidence that Ross' syndrome results from injury to sympathetic and parasympathetic ganglion cells or to their postganglionic projections.


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