Abstract Paradoxic autonomic response to the special afferent stimulus of taste has been thoroughly described in several well-recognized situations. These include gustatory sweating in Horner's syndrome1 and in the so-called auriculotemporal syndrome,2 and paradoxic lacrimation in acquired Bell's palsy with misdirected regenerations,3 as well as in congenital facial nerve palsy with weakness of the homolateral external rectus muscle.4 The authors wish to report what they believe to be the first recorded instance of retraction of the ptotic lid of congenital partial Horner's syndrome to strong gustatory stimulus and to discuss its implications. Report of Case A 14-year-old white female was examined because of ptosis of the right lid which had been present as long as the parents could remember. She was born in Colombia, South America, a full term infant after an uneventful gestation and uncomplicated vaginal delivery. Her developmental history was entirely normal except for the References 1. Haxton, H. A.: Gustatory Sweating , Brain 71:16-25, 1948. 2. Laage-Hellman, J. E.: Gustatory Sweating and Flushing After Conservative Parotidectomy , Acta Otolaryng 48:234-252, 1957.Crossref 3. Ford, F. R.: Paroxysmal Lacrimation During Eating as Sequel of Facial Palsy: Syndrome of Crocodile Tears , Arch Neurol Psychiat 29:1,279, 1933.Crossref 4. Jampel, R. S., and Titone, C.: Congenital Paradoxical Gustatory-Lacrimal Reflex and Lateral Rectus Paralysis , Arch Ophthal 67:123-126, 1962.Crossref 5. Goodman, L. S., and Gilman, A.: Pharmacological Basis of Therapeutics , ed 2, New York: Macmillan Co., 1955, pp 361-364. 6. Kiloh, L. G., and Nevin, S.: Progressive Dystrophy of External Ocular Muscles , Brain 74:9-143, 1951.Crossref 7. Herxheimer, A.: Gustatory Sweating and Pilomotion , Brit Med J 1:688, 1958.Crossref 8. Ashby, W. B.: Gustatory Sweating and Pilomotor Changes , Brit J Surg 47:406-410, 1959.Crossref 9. Everett, H. C.: Sneezing in Response to Light , Neurology 14:483-490, 1964.Crossref 10. Folkow, Bjorn: Nervous Control of Blood Vessels , Physiol Rev 35:640-641, 1955.
Archives of Ophthalmology – American Medical Association
Published: Jun 1, 1965