Loss of facial sweating and flushing in Holmes-Adie syndrome.

  title={Loss of facial sweating and flushing in Holmes-Adie syndrome.},
  author={Peter D. Drummond and Robert H Edis},
  volume={40 5},
We investigated pupillary responses to parasympathetic (pilocarpine) and sympathetic agents (tyramine, cocaine, and phenylephrine) in a 51-year-old woman with tonic pupils, loss of muscle stretch reflexes in the limbs, and hemifacial loss of sweating and flushing (Ross' syndrome). A smaller pupillary response to tyramine and cocaine eyedrops on the symptomatic side indicated that outflow was disrupted in the postganglionic section of the ocular sympathetic pathway. A greater response to… CONTINUE READING