Wilderness & Environmental Medicine RSS feed: Articles in Press. Wilderness & Environmental Medicine , the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication's unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource. http://www.wemjournal.org//inpress?rss=yesElsevier Inc.en © 2012 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved. Wilderness & Environmental Medicine1080-60322012-04-12 © 2012 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.wemjournal.org/article/PIIS1080603212000178/abstract?rss=yes Horner's syndrome involves a triad of eyelid ptosis, miosis, and facial anhidrosis that results from disruption of the oculosympathetic pathway. Acquired Horner's syndrome is associated with a variety of medical conditions including Pancoast tumor and carotid dissection. We report the unique case of a 47-year-old man presenting with Horner's syndrome 4 weeks after black widow spider envenomation. Workup did not reveal any alternative explanatory etiology. We hypothesize that late sequelae of black widow spider envenomation secondary to autonomic nerve injury or retrograde axonal transport after mechanical inoculation may have led to an acquired defect in the oculosympathetic pathway resulting in a Horner's syndrome. This case introduces a rare cause of Horner's syndrome and highlights the importance of environmental exposures in the evaluation of these patients. Black Widow Spider Envenomation, A Rare Cause of Horner's Syndrome - Corrected ProofRoy E. Strowd, Blake Scott, Francis O. Walker10.1016/j.wem.2012.02.004Wilderness & Environmental Medicine (2012)2012-04-12Wilderness & Environmental Medicine2012-04-12CASE REPORT