Síndrome de Horner traumático

Asensio-Sánchez, V.M.; Sánchez-Rodríguez, J.C.; Macías-Pascual, J.; Rodríguez, M. Martínez

doi:10.4321/s0365-66912007000300010

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…The fracture site was beside the thoracic outlet and relatively close to the lung apex, where the bony fragment, swollen soft tissue, or a hematoma might cause an interruption or compression of the second-order neuron, leading to preganglionic Horner's syndrome (Figure 4). All cases of traumatic Horner's syndrome, or iatrogenic Horner's syndrome, mentioned in the literature are summarized in Table 1 (6)(7)(8)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). Karen et al reported osteochondroma of the clavicle, which, although rare, should be considered in the differential diagnosis of causes of Horner's syndrome (10).…”

Section: Discussionmentioning

confidence: 99%

Isolated Middle-Third Clavicle Fracture Causing Horner's Syndrome: A Case Report and Literature Review

Lin

Chang

et al. 2021

Front. Surg.

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The pathophysiology of Horner's syndrome arises due to compression or destruction of the oculosympathetic nerve pathway. Traumatic Horner's syndrome may indicate lethal neurovascular injury, such as brain stem lesion, cervical spine injury, or carotid artery dissection. The middle-third is the most common type of clavicle fracture. However, the association of the isolated middle-third clavicle fracture and Horner's syndrome is rare. We report the case of a 47 year-old woman who presented to our emergency department with acute trauma. Severe tenderness and limited mobility were observed in her left shoulder. On radiographic examination, a middle-third clavicle fracture was diagnosed. Ptosis and myosis were also noticed on further examination, and she was subsequently diagnosed with Horner's syndrome. A survey of the brain, cervical spine, carotid artery, and lung revealed no pathological findings. Surgery for the clavicle fracture was performed 2 days after the accident. The patient recovered from Horner's syndrome gradually over the 2 months following the surgery, and the syndrome completely resolved by the third month. To the best of our knowledge, this is the first report of traumatic Horner's syndrome caused by an isolated middle-third clavicle fracture. The improved outcome may be attributed to the surgical intervention for middle-third clavicle fracture, which may help release ganglion or neuronal compression.

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Section: Discussionmentioning

confidence: 99%

Isolated Middle-Third Clavicle Fracture Causing Horner's Syndrome: A Case Report and Literature Review

Lin

Chang

et al. 2021

Front. Surg.

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Horner's syndrome after blunt cervical and chest trauma: case report

Paiva

Amorim

Tavares

et al. 2007

Arq. Neuro-Psiquiatr.

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-Horner's syndrome is the triad of miosis, ptosis, and anhidrosis, resulting from disruption of the sympathetic pathways. This article describes an uncommon case of Horner's syndrome in a 22-year-old man after blunt trauma to the neck and chest without carotid artery dissection. The patient was brought to the emergency service after motorcycle fall. Neurologic examination revealed a patient presenting the score 15 at Glasgow Coma Scale. The left eyelid was 1-2 mm lower than the right. Carotid Doppler and angiotomography were undertaken and revealed no abnormalities of the carotid artery. CT disclosed a mediastinal hematoma extending to the left apex, compressing the left sympathetic chain. The understanding of this clinical entity may help the surgeon to make a better differential diagnosis in trauma patients in whom prompt diagnosis is critical to stablish the correct treatment.KEY WORDS: Horner syndrome, trauma, etiology. Síndrome de Horner após trauma cérvico-torácico fechado: relato de casoRESUMO -A síndrome de Horner compreende a tríade de miose, ptose e anidrose, resultado de lesão em algum ponto das vias simpáticas. O referido estudo apresenta um caso da referida síndrome em um jovem de 22 anos vitima de queda de moto, com escoriações no tórax e no pescoço, sem dissecção carotídea. Ao exame neurológico, encontrava-se com 15 pontos na Escala de Coma de Glasgow, com miose à esquerda e ptose palpebral ipsilateral. Realizado Doppler de carótidas e angiotomografia dos vasos cérvico-cranianos não sendo evidenciadas anormalidades. A tomografia de tórax mostrou um hematoma no ápice pulmonar esquerdo, comprimindo a cadeia simpática ipsilateral. O conhecimento desta entidade clínica pode ajudar o cirurgião a fazer um diagnóstico diferencial adequado nos pacientes vítimas de traumas, nos quais o diagnóstico correto e eficaz pode ser fundamental para a definição da conduta a ser tomada. Campos, Horner's syndrome consists of a triad of symptoms (miosis, ptosis, and anhydrosis) resulting from disruption of the sympathetic pathways somewhere between the brain and the eyes. In blunt trauma, it is usually associated with carotid artery dissection. Although the individual signs of Horner's syndrome do not constitute an emergency, the internal carotid artery proximity to the sympathetic ganglia makes Horner's syndrome a potential vascular emergency [1][2][3] . PALAVRAS-CHAVE Dr. Wellingson Paiva -Rua Ovidio Pires deWe present a case of Horner's syndrome in a 22-year-old man after blunt trauma to the neck and head unrelated to carotid artery dissection. CASEA 22-year-old man was brought to the emergency room after motorcycle fall, with history of transitory loss of conscience. In the admition, he was alert and orientated, the carotid pulses were symmetric, regular in rate and rhythm, with no bruits and the chest and the abdomen had no signs of abnormalities. The patient related moderate cervical pain but no neurological defi cits were noticed except for the asymetric pupils that measured 5 mm on the right and 2 mm ...

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Síndrome de Horner traumático

Abstract: Cervical trauma may damage the sympathetic pathway and result in Horner's syndrome. This may be a manifestation of a life-threatening condition.

Cited by 2 publications

References 2 publications

Isolated Middle-Third Clavicle Fracture Causing Horner's Syndrome: A Case Report and Literature Review

Isolated Middle-Third Clavicle Fracture Causing Horner's Syndrome: A Case Report and Literature Review

Horner's syndrome after blunt cervical and chest trauma: case report

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