Horner's syndrome secondary to internal jugular venous cannulation

Horner Syndrome Caused by Central Venous Port Placement via the Internal Jugular Vein: A Case Report

“…According to previous reports, injury to the cervical sympathetic nerve trunk (CSNT) causing Horner syndrome, injury to the brachial plexus, phrenic nerve, and vagus nerve were reported as being uncommon complications of CV access via the IJV [7][8][9][10][11][12][13]. Butty et al reported in their prospective study that the frequency of Horner syndrome after CV catheter insertion was 2%.…”

Horner’s syndrome in patients admitted to the intensive care unit that have undergone central venous catheterization: a prospective study

“…Most likely it is a misdirected cannula causing the direct trauma to the sympathetic plexus or an expanding hematoma resulting from the cannula misdirection that produces Horner's syndrome post CVC of the internal jugular vein. 3,13 Garcia et al 2 reported an incidence of Horner's syndrome (2%; 95% CI, 1 to 8%) in a prospective study of 66 patients who had internal jugular CVC insertion without ultrasound guidance. In that study Horner's syndrome was detected in only one patient and it was thought to be associated with the large carotid sheath hematoma that developed during the catheter insertion.…”

“…1,2 SwanGanz catheter used for CVC is most often inserted into the internal jugular vein to assist in intravascular volume resuscitation and during this procedure it may come into contact with the sympathetic chain. Isolated case studies of patients with Horner's syndrome post CVC have been documented in the past [3][4][5][6][7] with one prospective study looking at the incidence of neurological complications after CVC insertion, 2 however, the frequency of Horner's syndrome has not been documented since the introduction of ultrasonography-assisted insertion. 8,9 This study aims to determine the incidence of Horner's syndrome in patients admitted to intensive care unit that have undergone internal jugular CVC insertion during their admission and to determine whether ultrasonographyassisted insertion has decreased the frequency of this complication.…”

Horner Syndrome Following Internal Jugular Vein Catheter Insertion: Report of Two Cases

“…The internal jugular vein (IJV) is the most common site used for insertion of hemodialysis catheters for vascular access due to high success and low complication rates. Damage to the oculosympathetic pathway following central line catheterization is rare but sometimes may occur due to repeated access failures and multiple recannulations (5)(6). The most common complications that can occur following IJV cannulation include internal carotid artery puncture, pneumothorax, vessel erosion, airway obstruction and infection.…”