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Christopher P. Austin, MD; Simmons Lessell, MD

Arch Neurol. 1991;48(3):332-334.

Abstract
• We report a case of Horner's syndrome due to ipsilateral posterior hypothalamic infarction, occurring in the absence of other signs of hypothalamic dysfunction. Associated symptoms of contralateral faciobrachial weakness and dysarthria correlated with the extension of the infarct into the posterior limb of the internal capsule seen by magnetic resonance imaging. The likely vascular anatomy of this lesion is discussed.

Author Affiliations
From the Departments of Neurology (Dr Austin) and Ophthalmology (Dr Lessell), Harvard Medical School, Massachusetts General Hospital and Massachusetts Eye and Ear Infirmary, Boston.

Footnotes
Accepted for publication July 20, 1990.

Reprint requests to Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, 243 Charles St, Boston, MA 02114 (Dr Lessell).

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