RT Book, Section A1 Singh, Manpreet A1 Whitfield, Denise A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181038482 T1 Horner Syndrome T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessmedicine.mhmedical.com/content.aspx?aid=1181038482 RD 2023/11/29 AB Horner syndrome (miosis, ptosis, and anhidrosis) is secondary to loss of ocular sympathetic innervation. Ptosis is less than 2 mm, the result of paralysis of Müller muscle, innervated by the sympathetic pathway. Anhidrosis is often not apparent to patients or clinicians. A pupillary finding specific in Horner syndrome is dilation lag. Because the dilator muscle is weak, the pupil dilates more slowly than the normal pupil.