Horner's Syndrome Following Thyroid Surgery.
eye ptosis
horner’s syndrome
miosis
papillary thyroid cancer
post-thyroidectomy complication
thyroid anatomy
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
accepted:
23
09
2023
medline:
25
10
2023
pubmed:
25
10
2023
entrez:
25
10
2023
Statut:
epublish
Résumé
Horner's syndrome (HS) is a rare complication of thyroidectomy caused by damage to the oculosympathetic nerves. This article reports the case of a 29-year-old woman referred to the clinic with a newly diagnosed papillary thyroid carcinoma (PTC). Ultrasound studies were concerning for multiple thyroid nodules and an enlarged lymph node, confirmed by a computed tomography (CT) scan. Cytology results of fine needle aspiration (FNA) diagnostic for PTC showed tumors in the thyroid tissue and lymph node. The patient underwent a thyroidectomy and woke up with right-sided ptosis and miosis. Clinical follow-up revealed subjective ipsilateral anhidrosis. She also developed a low parathyroid hormone level and dysphonia, albeit they resolved after months. The patient still exhibits HS eight months after surgery. This paper reviews the literature and attempts to establish the most probable causal factor while providing implications for surgical teams to minimize HS occurrence in future thyroid surgeries.
Identifiants
pubmed: 37876407
doi: 10.7759/cureus.45825
pmc: PMC10591229
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e45825Informations de copyright
Copyright © 2023, Arishi et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Clin Exp Optom. 2007 Sep;90(5):336-44
pubmed: 17697179
Medicine (Baltimore). 2018 Aug;97(34):e11884
pubmed: 30142787
Medicine (Baltimore). 2017 Dec;96(48):e8888
pubmed: 29310374
Thyroid. 2015 Jan;25(1):3-14
pubmed: 25188202
Surg Today. 2008;38(12):1114-6
pubmed: 19039637
ANZ J Surg. 2004 Jun;74(6):442-5
pubmed: 15191478
J Ophthalmic Vis Res. 2016 Oct-Dec;11(4):442-444
pubmed: 27994816
Case Rep Endocrinol. 2017;2017:1689039
pubmed: 28133554