Horner's Syndrome: An Uncommon Complication of Thyroidectomy and Selective Lateral Neck Dissection.
Horner’s syndrome
cervical sympathetic chain damage
selective lateral neck dissection
thyroidectomy
Journal
Current health sciences journal
ISSN: 2067-0656
Titre abrégé: Curr Health Sci J
Pays: Romania
ID NLM: 101597164
Informations de publication
Date de publication:
Historique:
received:
23
02
2019
accepted:
16
03
2019
entrez:
13
7
2019
pubmed:
13
7
2019
medline:
13
7
2019
Statut:
ppublish
Résumé
Horner's Syndrome is defined by myosis, enophthalmos, lack of sweating and eyelid ptosis, as well as vascular dilatation of one half of the face, caused by damage of the ipsilateral cervical sympathetic chain. It is known that Horner's syndrome is an unusual complication of thyroidectomy and selective lateral neck dissection. Its exact pathophysiology is not totally explained and its treatment remains conservative. A 27-year-old man developed one-sided partial eyelid ptosis, enophthalmos and myosis two hours after a total thyroid gland excision and a selective lateral neck dissection for papillary carcinoma. A clinical diagnosis of Horner's syndrome was formed. He was treated conservatively and presented with an incomplete recovery at a 2-month follow up. The present case report underlines the adjacent anatomical correlation between the thyroid gland, the celluloadipose tissue and the cervical sympathetic trunk throughout thyroidectomy and selective lateral neck dissection. Every surgeon should be familiar with the potential complications in order to preoperatively counsel patients, as well as avoid them during the surgical procedure.
Sections du résumé
BACKGROUND
BACKGROUND
Horner's Syndrome is defined by myosis, enophthalmos, lack of sweating and eyelid ptosis, as well as vascular dilatation of one half of the face, caused by damage of the ipsilateral cervical sympathetic chain. It is known that Horner's syndrome is an unusual complication of thyroidectomy and selective lateral neck dissection. Its exact pathophysiology is not totally explained and its treatment remains conservative.
CASE PRESENTATION
METHODS
A 27-year-old man developed one-sided partial eyelid ptosis, enophthalmos and myosis two hours after a total thyroid gland excision and a selective lateral neck dissection for papillary carcinoma. A clinical diagnosis of Horner's syndrome was formed. He was treated conservatively and presented with an incomplete recovery at a 2-month follow up.
CONCLUSIONS
CONCLUSIONS
The present case report underlines the adjacent anatomical correlation between the thyroid gland, the celluloadipose tissue and the cervical sympathetic trunk throughout thyroidectomy and selective lateral neck dissection. Every surgeon should be familiar with the potential complications in order to preoperatively counsel patients, as well as avoid them during the surgical procedure.
Identifiants
pubmed: 31297271
doi: 10.12865/CHSJ.45.01.15
pii: 2019.01.15
pmc: PMC6592676
doi:
Types de publication
Case Reports
Langues
eng
Pagination
111-115Références
ANZ J Surg. 2004 Jun;74(6):442-5
pubmed: 15191478
Eur Arch Otorhinolaryngol. 2006 May;263(5):473-6
pubmed: 16380807
Ann Surg Oncol. 2008 Feb;15(2):397-9
pubmed: 18058179
Surg Today. 2008;38(12):1114-6
pubmed: 19039637
Neurol Sci. 2011 Jun;32(3):531
pubmed: 21088976
J Med Case Rep. 2016 Oct 26;10(1):300
pubmed: 27784321
Front Neurol. 2019 Jan 22;10:4
pubmed: 30723449
J Otolaryngol. 1993 Dec;22(6):454-6
pubmed: 8158744