Oculo-sympathetic findings in case of neck trauma. A systematic review

Daniela Marchetti, Domenico Biondo

Research output: Contribution to journalArticle


The authors intend to review the pathogenesis of the oculo-sympathetic paresis in case of traumatic upper cervical neck injuries. The importance of miosis and ptosis in a forensic context is rarely considered due to pupillary and eyelid abnormalities that can accompany facial or upper neck trauma without any paresis and for common idea that a large amount of force is needed to disrupt the sympathetic chain and be fatal. The international literature reviewed encourage forensic pathologist to corroborate autopsy findings with postmortem computer tomography or magnetic resonance investigation as well as to study the use of adrenergic ophthalmic agonists to provide additional information. Currently, the reliability of pharmacological testing in forensic autopsy is limited to the estimation of the time of death
Original languageEnglish
Pages (from-to)419-428
Number of pages10
Publication statusPublished - 2018


  • Forensic science, forensic pathology, oculosympathetic paresis, Bernard Horner syndrome, neck, cervical trauma


Dive into the research topics of 'Oculo-sympathetic findings in case of neck trauma. A systematic review'. Together they form a unique fingerprint.

Cite this