Horner syndrome following thyroidectomy

Italiano, Domenico; Cammaroto, Simona; Cedro, Clemente; Bramantı, Placido; Ferlazzo, Edoardo

doi:10.1007/s10072-010-0451-x

Cited by 14 publications

(13 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Few cases have been reported since, and the majority of cases are associated with conventional thyroidectomy (8). To the best of our knowledge, there have been only 18 cases involving the development of HS as a complication of conventional thyroid surgery since 1993 (Table II) that have been reported in the literature (3,(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Due to the development of surgical techniques over the previous two decades, cervical sympathetic damage has also been reported as a post-operative complication that develops subsequent to the completion of open minimally-invasive thyroidectomy and robotic-assisted endoscopic thyroidectomy (Table II).…”

Section: Discussionmentioning

confidence: 99%

Horner's syndrome subsequent to minimally invasive video-assisted thyroidectomy in two patients

Meng¹,

Tian²,

Lv³

et al. 2015

Oncology Letters

View full text Add to dashboard Cite

Abstract. Horner's syndrome (HS), characterized by a combination of ptosis and miosis, is an uncommon complication of thyroid surgery, particularly in minimally invasive thyroid surgery. Two cases of HS were observed secondary to minimally invasive video-assisted thyroidectomy in the Department of Thyroid Breast Surgery of Zhejiang Provincial People's Hospital between August 2012 and July 2014. The two patients developed miosis and ptosis following total thyroidectomy; all symptoms had resolved at 1 and 11 months subsequent to surgery, respectively. HS has currently been reported secondary to numerous types of minimally invasive thyroid procedures. The literature was reviewed to identify cases of this iatrogenic complication secondary to each type of thyroidectomy and the possible injury mechanisms underlying the syndrome were summarized in the present study. In addition, factors that were associated with minimally invasive thyroidectomy, such as the limited endoscopic vision during the procedure, the retraction effect and the occurrence of thermal damage from the use of the harmonic scalpel, were emphasized. The present study concluded that close attention is required during minimally invasive thyroid surgery in order to avoid HS as a complication of the procedure.

show abstract

Section: Discussionmentioning

confidence: 99%

Horner's syndrome subsequent to minimally invasive video-assisted thyroidectomy in two patients

Meng¹,

Tian²,

Lv³

et al. 2015

Oncology Letters

View full text Add to dashboard Cite

show abstract

“…There is no uniformity in the onset of HS after thyroidectomy and the literature shows most cases having the onset on 2 nd to 4 th postoperative day reflecting the possibility of different etiologies [1]. The case described here is unique due to the fact that onset of HS was very late at 1 week following thyroidectomy.…”

Section: Discussionmentioning

confidence: 85%

“…HS due to damaged cervical sympathetic trunk during thyroidectomy is a very rare complication with only a handful of cases reported in the literature [1, 2]. A close and highly variable anatomical relationship between the thyroid gland and cervical sympathetic trunk places the sympathetic trunk at increased risk of damage during thyroidectomy.…”

Section: Introductionmentioning

confidence: 99%

Horner’s syndrome: an unusual complication of thyroidectomy: a case report

2016

View full text Add to dashboard Cite

BackgroundHorner’s syndrome is a very rare complication following surgery of the thyroid gland with only a handful of cases reported in the literature. Exact pathophysiology of post-thyroidectomy Horner’s syndrome is not fully understood, and once diagnosed, management remains mostly conservative.Case presentationA 36-year-old Sri Lankan Sinhalese woman developed unilateral partial ptosis with enophthalmos and myosis one week after total thyroidectomy for a benign multinodular goiter. A clinical diagnosis of Horner’s syndrome was made. A postoperative ultrasound scan did not show a collection or hematoma compressing the sympathetic trunk. Our patient was managed conservatively and she had a slow and an incomplete recovery at 1-year follow up.ConclusionsThis case report highlights the importance of being aware of the close anatomical relationship between the thyroid gland and cervical sympathetic trunk during thyroidectomy. This would enable the surgeon to undertake measures to minimize the risk of damaging the sympathetic trunk during thyroidectomy.

show abstract

“…The literature has suggested that other possible causes of damage to the CSC could be due to anatomical variations, ischemia or compression caused by hematoma to the sympathetic chain [8-10]. …”

Section: Discussionmentioning

confidence: 99%

Postoperative Horner’s syndrome after video-assisted thyroidectomy: a report of two cases

2013

View full text Add to dashboard Cite

Horner’s syndrome is a rare complication after video-assisted thyroidectomy (VAT). We present two cases of thyroid microcarcinoma who presented with Horner’s syndrome on day 2 after surgery. Ultrasonography showed no hematoma or fluid collection in the surgical field. For the first case, the symptoms were much relieved 4 months later. However, the right pupil remained smaller. For the second case, the symptoms were relieved 3 days later. The symptoms were caused by local trauma to the sympathetic chain and likely occurred during retraction of the carotid sheath. Surgeons should be aware of the possibility of Horner’s syndrome after VAT.

show abstract

Horner syndrome following thyroidectomy

Cited by 14 publications

References 2 publications

Horner's syndrome subsequent to minimally invasive video-assisted thyroidectomy in two patients

Horner's syndrome subsequent to minimally invasive video-assisted thyroidectomy in two patients

Horner’s syndrome: an unusual complication of thyroidectomy: a case report

Postoperative Horner’s syndrome after video-assisted thyroidectomy: a report of two cases

Contact Info

Product

Resources

About