A 32 years lady present with shoulder tip pain and diagnosis is pan coast tumour and presents with miosis. Diagnosis is: (A) Horner syndrome, (B) Thoracic outlet syndrome, (C) Aberrant right subclan aery, (D) Upper trunk of brachial plexus injury
Answer is A. Pan-coast tumor can cause compression of sympathetic ganglion resulting in Horner syndrome. These tumors are associated with Pancoast syndrome, characterized by pain, that may arise in shoulder / chest wall & characteristically radiates to ulnar surface of hand Features of Horner's syndrome: P - Ptosis M - Miosis E - Enophthalmos A- Anhidrosis L - Loss of ciliospinal reflex