Horner’s Syndrome Caused by a Thoracic Dumbbell-Shaped Schwannoma: Sympathetic Chain Reconstruction After a One-Stage Removal of the Tumor

Miura, Junro; Doita, Minoru; Miyata, Keisuke; Yoshiya, Shinichi; Kurosaka, Masahiro; Yamamoto, Hidehiro

doi:10.1097/00007632-200301150-00021

Cited by 27 publications

(14 citation statements)

References 19 publications

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“…Telaranta reported that reconstruction of the sympathetic chain using sural nerve graft diminished compensatory sweating in a male patient who underwent sympathicotomy for palmar hyperhidrosis (20). Miura et al (21) reported that sympathetic nerve reconstruction surgery using the intercostal nerve was useful after resection of the sympathetic nerve involved by tumor.…”

Section: Discussionmentioning

confidence: 99%

Sympathetic Nerve Reconstruction for Compensatory Hyperhidrosis after Sympathetic Surgery for Primary Hyperhidrosis

et al. 2010

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We performed sympathetic nerve reconstruction using intercostal nerve in patients with severe compensatory hyperhidrosis after sympathetic surgery for primary hyperhidrosis, and analyzed the surgical results. From February 2004 to August 2007, sympathetic nerve reconstruction using intercostal nerve was performed in 19 patients. The subjected patients presented severe compensatory hyperhidrosis after thoracoscopic sympathetic surgery for primary hyperhidrosis. Reconstruction of sympathetic nerve was performed by thoracoscopic surgery except in 1 patient with severe pleural adhesion. The median interval between the initial sympathetic surgery and sympathetic nerve reconstruction was 47.2 (range: 3.5-110.7) months. Compensatory sweating after the reconstruction surgery improved in 9 patients, and 3 out of them had markedly improved symptoms. Sympathetic nerve reconstruction using intercostal nerve may be one of the useful surgical options for severe compensatory hyperhidrosis following sympathetic surgery for primary hyperhidrosis.

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Section: Discussionmentioning

confidence: 99%

Sympathetic Nerve Reconstruction for Compensatory Hyperhidrosis after Sympathetic Surgery for Primary Hyperhidrosis

et al. 2010

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“…Histologically, a plethora of different lesions have been described, including a chordoma,5 thymic cyst,6 hydatid cyst,7 bronchogenic cyst,8 aneurysmal bone cyst9 and seven cases of benign intrathoracic schwannoma causing HS 10–16. Of these cases, the nerve of origin was judged to be a sympathetic nerve in three cases,10 12 15 the first thoracic nerve in one case11 and an intercostal nerve in another case 13. In this case, the enormous size of the tumour made it exceedingly difficult to identify the nerve of origin.…”

Section: Discussionmentioning

confidence: 95%

Intrathoracic schwannoma with Horner syndrome

et al. 2013

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Horner syndrome (HS) results from the interruption of the sympathetic pathway to the eye and face, and describes a collection of signs consisting of ipsilateral miosis, partial ptosis, anhidrosis and apparent enophthalmos. It is a clinical observation, and has a plethora of possible causes, ranging from the benign to the malignant. Involvement of the stellate ganglion on the sympathetic chain by malignant tumours of the lung is a well-recognised cause of HS. On the other hand, HS secondary to the excessive growth of a benign intrathoracic neoplasm is a very rare finding, with only a few cases described in the literature. Our patient was found to have such a diagnosis when he presented to medical attention with a 1-month history of cough that was associated with features of HS that he had ignored for the preceding 9 years.

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“…The vast majority are benign neurogenic tumours, of which schwannomas account for around 90%. [1][2][3] The presenting history is usually unremarkable and non-specific; local and radicular pains are typical presenting features. 4 Optimal surgical approach of these tumours remains a debatable topic with different authors advocating competing strategies.…”

Section: Discussionmentioning

confidence: 99%

Extended thoracotomy for a thoracic lesion

Nicholson

Buchan

Bhatt

2012

Journal of Clinical Neuroscience

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Horner’s Syndrome Caused by a Thoracic Dumbbell-Shaped Schwannoma: Sympathetic Chain Reconstruction After a One-Stage Removal of the Tumor

Abstract: A mediastinal dumbbell-shaped schwannoma has rarely been described as a cause of Horner's syndrome. Primary sympathetic nerve reconstruction with an intercostal nerve was shown to be useful after resection of the sympathetic nerve involved in the tumor.

Cited by 27 publications

References 19 publications

Sympathetic Nerve Reconstruction for Compensatory Hyperhidrosis after Sympathetic Surgery for Primary Hyperhidrosis

Sympathetic Nerve Reconstruction for Compensatory Hyperhidrosis after Sympathetic Surgery for Primary Hyperhidrosis

Intrathoracic schwannoma with Horner syndrome

Extended thoracotomy for a thoracic lesion

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