{"id":72816,"date":"2020-11-04T10:05:52","date_gmt":"2020-11-04T10:05:52","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/hornerjev-sindrom\/"},"modified":"2025-01-13T03:17:47","modified_gmt":"2025-01-13T03:17:47","slug":"hornerjev-sindrom","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/","title":{"rendered":"Hornerjev sindrom"},"content":{"rendered":"<p>Hornerjev sindrom, znan tudi kot Horner-Bernardov sindrom ali okulosimpati\u010dna paraliza, je kombinacija simptomov, ki nastanejo zaradi oviranja \u017eiv\u010dne poti od mo\u017eganov do obraza in o\u010di na eni strani telesa.<\/p>\n<p>Splo\u0161ni znaki Hornerjevega sindroma vklju\u010dujejo zmanj\u0161ano velikost zenice, pove\u0161eno veko in zmanj\u0161ano potenje na prizadeti strani obraza.<\/p>\n<p>Hornerjev sindrom je lahko posledica mo\u017eganske kapi, tumorja ali po\u0161kodbe hrbtenja\u010de. Nekateri primeri ne ka\u017eejo osnovnega stanja. Za Hornerjev sindrom ni posebnega zdravljenja, vendar lahko zdravljenje osnovnega stanja v\u010dasih obnovi \u017eiv\u010dno funkcijo.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"simptomi\">Simptomi<\/h2>\n<p>Znaki in simptomi Hornerjevega sindroma vklju\u010dujejo:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Vztrajno majhna zenica (mioza)<\/li>\n<li>Precej\u0161nja razlika v velikosti zenice med obema o\u010desoma (anizokoria)<\/li>\n<li>Majhno ali zapoznelo odpiranje (dilatacija) prizadete zenice pri slabi svetlobi<\/li>\n<li>Pove\u0161anje veke (ptoza)<\/li>\n<li>Malo ali brez potenja (anhidroza) na celotni strani obraza ali izolirano obmo\u010dje ko\u017ee na prizadeti strani<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Simptomi Hornerjevega sindroma pri otrocih vklju\u010dujejo:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Svetlej\u0161a barva \u0161arenice na prizadetem o\u010desu (prizadene otroke, mlaj\u0161e od 11 let)<\/li>\n<li>Pomanjkanje rde\u010dice (rde\u010dice) na prizadeti strani obraza, ki se obi\u010dajno pojavi zaradi vro\u010dine, fizi\u010dnega napora ali \u010dustvenih reakcij.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>\nVzroki<\/h2>\n<p>&nbsp;<\/p>\n<p>Hornerjev sindrom je posledica po\u0161kodbe dolo\u010dene poti v simpati\u010dnem \u017eiv\u010devju. Simpati\u010dni \u017eiv\u010dni sistem uravnava hitrost sr\u010dnega utripa, potenje, krvni tlak, \u0161irjenje zenice in druge reakcije, zna\u010dilne za spremembe v okolju. \u017div\u010dno pot, ki je po\u0161kodovana zaradi Hornerjevega sindroma, lahko razdelimo v 3 skupine \u017eiv\u010dnih celic (nevronov):<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"nevroni-prvega-reda\">Nevroni prvega reda<\/h2>\n<p>Ta pot sega od hipotalamusa na dnu mo\u017eganov skozi mo\u017egansko deblo in v zgornji del hrbtenja\u010de. Pogoji, zna\u010dilni za to regijo, ki lahko motijo \u200b\u200bdelovanje \u017eivcev, vklju\u010dujejo:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Kap<\/li>\n<li>Tumor<\/li>\n<li>Po\u0161kodba vratu<\/li>\n<li>Cista ali votlina v hrbtenici (sringomielija)<\/li>\n<li>Bolezni, ki uni\u010dujejo za\u0161\u010ditno plast na nevronih (mielin)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"nevroni-drugega-reda\">Nevroni drugega reda<\/h2>\n<p>Nevroni drugega reda segajo od hrbtenice \u010dez zgornji del prsnega ko\u0161a in na stran vratu. Pogoji, ki lahko povzro\u010dijo po\u0161kodbe \u017eivcev na tem podro\u010dju, vklju\u010dujejo:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Plju\u010dni rak<\/li>\n<li>Tumor na mielinskem pla\u0161\u010du (schwannoma)<\/li>\n<li>Po\u0161kodba aorte<\/li>\n<li>Travmati\u010dna po\u0161kodba<\/li>\n<li>Kirur\u0161ki poseg v prsni votlini<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"nevroni-tretjega-reda\">Nevroni tretjega reda<\/h2>\n<p>Tretje obmo\u010dje \u017eiv\u010dne poti se razteza vzdol\u017e strani vratu, kar vodi do ko\u017ee obraza in mi\u0161ic \u0161arenice in vek. Pogoji, ki lahko vplivajo na to regijo in povzro\u010dijo po\u0161kodbe \u017eivcev, vklju\u010dujejo:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Po\u0161kodba karotidne arterije (name\u0161\u010dena ob strani vratu)<\/li>\n<li>Po\u0161kodba jugularne vene (name\u0161\u010dena ob strani vratu)<\/li>\n<li>Tumor ali oku\u017eba v bli\u017eini baze lobanje<\/li>\n<li>Migrene<\/li>\n<li>Grozni glavoboli (cikli\u010dni vzorci mo\u010dnih glavobolov)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"otroci\">Otroci<\/h2>\n<p>Najpogostej\u0161a stanja, ki povzro\u010dajo Hornerjev sindrom pri otrocih, so:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Defekt aorte ob rojstvu<\/li>\n<li>Po\u0161kodba vratu ali ramen med porodom<\/li>\n<li>Tumor hormonskega in \u017eiv\u010dnega sistema (nevroblastom)<\/li>\n<li>Nazadnje v redkih primerih ni mogo\u010de ugotoviti vzroka Hornerjevega sindroma. Temu pravimo idiopatski Hornerjev sindrom.<\/li>\n<\/ul>\n","protected":false},"featured_media":0,"template":"","class_list":["post-72816","disease","type-disease","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hornerjev sindrom - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hornerjev sindrom - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Hornerjev sindrom, znan tudi kot Horner-Bernardov sindrom ali okulosimpati\u010dna paraliza, je kombinacija simptomov, ki nastanejo zaradi oviranja \u017eiv\u010dne poti od mo\u017eganov do obraza in o\u010di na eni strani telesa. Splo\u0161ni znaki Hornerjevega sindroma vklju\u010dujejo zmanj\u0161ano velikost zenice, pove\u0161eno veko in zmanj\u0161ano potenje na prizadeti strani obraza. Hornerjev sindrom je lahko posledica mo\u017eganske kapi, tumorja ali [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/\" \/>\n<meta property=\"og:site_name\" content=\"Humanitas.net\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HumanitasInternational\/\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-13T03:17:47+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@humanitasmilano\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/\",\"name\":\"Hornerjev sindrom - Humanitas.net\",\"isPartOf\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#website\"},\"datePublished\":\"2020-11-04T10:05:52+00:00\",\"dateModified\":\"2025-01-13T03:17:47+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/#breadcrumb\"},\"inLanguage\":\"sl-SI\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/humanitas-net.humweb.webiz.team\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Malattie\",\"item\":\"https:\/\/humanitas-net.humweb.webiz.team\/malattie\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Hornerjev sindrom\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#website\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/\",\"name\":\"Humanitas.net\",\"description\":\"Humanitas Hospital\",\"publisher\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/humanitas-net.humweb.webiz.team\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"sl-SI\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#organization\",\"name\":\"Humanitas\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sl-SI\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg\",\"contentUrl\":\"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg\",\"width\":1,\"height\":1,\"caption\":\"Humanitas\"},\"image\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/HumanitasInternational\/\",\"https:\/\/x.com\/humanitasmilano\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Hornerjev sindrom - Humanitas.net","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"sl_SI","og_type":"article","og_title":"Hornerjev sindrom - Humanitas.net","og_description":"Hornerjev sindrom, znan tudi kot Horner-Bernardov sindrom ali okulosimpati\u010dna paraliza, je kombinacija simptomov, ki nastanejo zaradi oviranja \u017eiv\u010dne poti od mo\u017eganov do obraza in o\u010di na eni strani telesa. Splo\u0161ni znaki Hornerjevega sindroma vklju\u010dujejo zmanj\u0161ano velikost zenice, pove\u0161eno veko in zmanj\u0161ano potenje na prizadeti strani obraza. Hornerjev sindrom je lahko posledica mo\u017eganske kapi, tumorja ali [&hellip;]","og_url":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/","og_site_name":"Humanitas.net","article_publisher":"https:\/\/www.facebook.com\/HumanitasInternational\/","article_modified_time":"2025-01-13T03:17:47+00:00","twitter_card":"summary_large_image","twitter_site":"@humanitasmilano","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/","url":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/","name":"Hornerjev sindrom - Humanitas.net","isPartOf":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#website"},"datePublished":"2020-11-04T10:05:52+00:00","dateModified":"2025-01-13T03:17:47+00:00","breadcrumb":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/#breadcrumb"},"inLanguage":"sl-SI","potentialAction":[{"@type":"ReadAction","target":["https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/hornerjev-sindrom\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/humanitas-net.humweb.webiz.team\/"},{"@type":"ListItem","position":2,"name":"Malattie","item":"https:\/\/humanitas-net.humweb.webiz.team\/malattie\/"},{"@type":"ListItem","position":3,"name":"Hornerjev sindrom"}]},{"@type":"WebSite","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#website","url":"https:\/\/humanitas-net.humweb.webiz.team\/","name":"Humanitas.net","description":"Humanitas Hospital","publisher":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/humanitas-net.humweb.webiz.team\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"sl-SI"},{"@type":"Organization","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#organization","name":"Humanitas","url":"https:\/\/humanitas-net.humweb.webiz.team\/","logo":{"@type":"ImageObject","inLanguage":"sl-SI","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/","url":"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg","contentUrl":"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg","width":1,"height":1,"caption":"Humanitas"},"image":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/HumanitasInternational\/","https:\/\/x.com\/humanitasmilano"]}]}},"acf":[],"_links":{"self":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/wp-json\/wp\/v2\/disease\/72816","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/wp-json\/wp\/v2\/disease"}],"about":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/wp-json\/wp\/v2\/types\/disease"}],"wp:attachment":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/wp-json\/wp\/v2\/media?parent=72816"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}