AN EVALUATION OF TWO CASES OF POST TRAUMATIC HORNER SYNDROME WITHIN THE SCOPE OF TURKISH PENAL LAW AND DISABILITY REGULATIONS
Horner syndrome (HS) is a neurological involvement characterised by myositis, ptosis, enophthalmus and anhydrosis. HS is important in forensic medicine applications because it creates a permanent facial involvement (PFI) that disrupts the symmetry of face. This evaluation aims to discuss the PFI det...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Istanbul University Press
2021-01-01
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| Series: | İstanbul Tıp Fakültesi Dergisi |
| Subjects: | |
| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/FAC9FD463DAF4F479822EAB6619D22E0 |
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| Summary: | Horner syndrome (HS) is a neurological involvement characterised by myositis, ptosis, enophthalmus and anhydrosis. HS is important in forensic medicine applications because it creates a permanent facial involvement (PFI) that disrupts the symmetry of face. This evaluation aims to discuss the PFI determinations and disability regulations in two cases where HS was found in the examinations of the 2nd Specialisation Board of the Forensic Medicine Institute. The first case was a 21-year-old female patient who had ptosis and anisocoria. Anterior cervical stabilization materials saw C6- T1 levels due to C7 compression fracture. The second case was a 36-year-old female patient with ptosis and myosis on the left. It was determined that there were fractures in the C7 left transverse processes and the T12-L1 right transverse processes and fractures in the left 1st, 2nd and 6th ribs. HS is an important facial involvement that can occur without direct trauma to the face or head. Our first case was evaluated as being secondary to the sympathetic involvement between C6-T1 levels, and the second case to the thoracocervical trauma accompanied by the left thoracic first rib fracture. The first of the cases was not evaluated as PFI. The second case was evaluated as PFI and has a 9% disability rate. |
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| ISSN: | 1305-6441 |