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M. Allison Ogden, MD; Frances V. White, MD; Monica L. Hulbert, MD; Brian W. Herrmann, MD
Washington University School of Medicine, St Louis, Mo

Arch Otolaryngol Head Neck Surg. 2005;131:172.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

An 18-month-old girl presented to a local ophthalmologist for evaluation of progressive left-sided ptosis and anisocoria. Her parents had first noticed the eyelid droop 8 months earlier, and the constricted left pupil had been present for 3 months. The patient was otherwise healthy, without any remarkable medical or surgical history.

Horner syndrome was diagnosed, and the patient underwent magnetic resonance imaging (MRI) of her neck (Figure 1). A cervical mass was identified, and the patient was referred for further evaluation. Physical examination confirmed the original findings, and a diffuse enlargement of the left side of the neck was also noted. The results of the rest of the examination, including cranial nerve function, were normal. The neck MRI demonstrated a large mass with low T1 and high T2 signal characteristics that filled the . . . [Full Text of this Article]

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