What is Horner's Syndrome?
Horner’s Syndrome is a common neurological disorder affecting the eyes and facial muscles. The condition typically occurs suddenly and usually affects one side of the head, but it can be bilateral (affecting both sides of the head) in rare cases.
What are the clinical signs of Horner's Syndrome?
The most common clinical signs of Horner’s Syndrome are:
- Drooping of the upper eyelid on the affected side (ptosis)
- Constricted pupil in the eye on the affected side (miosis)
- The eye on the affected side often appears sunken (enophthalmos)
- The third eyelid on the affected side may appear red and elevated (third eyelid prolapse, conjunctival hyperemia)
What causes Horner's Syndrome?
Horner’s Syndrome is due to dysfunction of the sympathetic nerves of the eyes and surrounding facial muscles. This is part of the autonomic nervous system, which helps control normal functions such as blinking and muscle tone.
There are many reasons for Horner’s Syndrome. Dysfunction can be caused by damage to the sympathetic pathway as it passes through the neck or chest. This can be due to an injury such as a bite or blunt trauma, a tumor, or intervertebral disc disease. Disease in the middle or inner ear (middle or inner ear inflammation) can also cause Horner’s Syndrome.
Other causes for an elevated or protruding third eyelid gland include: tetanus, facial nerve paralysis, facial muscle atrophy, and dehydration. However, Horner’s Syndrome is often classified as idiopathic, meaning it has no known cause.
The onset of Horner’s Syndrome can be sudden and without warning. In some cases, the dog may exhibit ocular symptoms, along with excessive salivation and/or difficulty eating on the affected side.
Does it affect any specific breed or age of dog?
Any dog can develop Horner’s Syndrome, although golden retrievers, Labrador retrievers, Shetland sheepdogs, Weimaraners, Dobermans, and collies have a slightly higher incidence.
What is the treatment?
Most cases of Horner’s Syndrome resolve spontaneously; however, it is important to treat any underlying disease.
There are several diagnostic tests that will determine if there is an underlying cause in your pet, including an ocular and aural examination, X-rays (radiographs) of the skull and chest, and possibly advanced imaging such as CT or MRI.
Pharmacological tests may include phenylephrine drops placed in the affected eye to help locate the source of the problem.
What is the prognosis and recovery rate?
If the injury is not due to any pathological cause, a slow recovery can be expected, which may last several weeks to 4 months.
The prognosis is very good if there is no underlying pathological cause present. The condition tends to be self-resolving, but it may take weeks or months, depending on the severity.
Horner's Syndrome
Frequently Asked Questions
Horner’s Syndrome is a neurological condition that affects dogs, resulting in a series of visible symptoms such as eyelid ptosis (drooping eyelid), miosis (constriction of the pupil), enophthalmos (sunken eyeball), and protrusion of the third eyelid (visible third eyelid).
These symptoms occur due to dysfunction in the sympathetic nervous system that controls pupil dilation and proper eye positioning.
The most common causes of Horner’s Syndrome in dogs include trauma to the head or neck region, lesions in the central nervous system, infections, neoplasms (tumors), inflammation or compression of nerves, and some congenital conditions. Identifying the underlying cause is crucial for determining the appropriate treatment.
Although Horner’s Syndrome can affect dogs of any breed, some breeds appear to have a higher predisposition, including brachycephalic breeds such as Bulldogs and Boxers. However, dogs of all breeds and ages can develop this condition.
Horner’s Syndrome itself is not considered a painful condition for dogs. However, the underlying cause of the syndrome may be painful, such as in the case of trauma or infection.
It’s important to observe the dog’s behavior for signs of discomfort and pain, especially if there are other medical conditions present.
The diagnosis of Horner’s Syndrome in dogs is typically based on clinical symptoms, detailed physical examination, and the animal’s medical history. The veterinarian may conduct a series of tests to rule out other medical conditions that may be causing similar symptoms.
This may include blood tests, imaging studies (such as X-rays or ultrasound), and in some cases, specialized ophthalmic examinations.
Horner’s Syndrome itself is not considered a fatal condition. However, the underlying causes of the syndrome can pose life-threatening risks, especially if left untreated.
It is essential to seek veterinary guidance as soon as symptoms are observed to initiate treatment and manage any underlying medical condition.
Recovery from Horner’s Syndrome in dogs depends on the underlying cause and the severity of the damage. In many cases, dogs can fully recover with proper treatment, especially if the condition is diagnosed early and managed effectively.
However, in some more severe cases or with serious underlying causes, complications and permanent sequelae may occur. The prognosis is generally better when the condition is identified and treated early.
If you suspect your pet is ill, immediately call your veterinarian. For health-related inquiries, always consult your veterinarian as they have examined your pet, know the pet’s health history, and can make the best recommendations for your pet.