Video-assisted thoracoscopic sympathectomy for Harlequin syndrome

Abstract

Harlequin Syndrome is an exceedingly rare condition, characterized by unilateral facial flushing and hyperhidrosis. Postulated to be dysregulated sympathetic nervous system stimulation of the dermal vasculature and blood vessels of the face. There is no clear unifying pathological cause. Due to its heterogeneity and rarity, very little is known about treatment of it. Hereafter we describe our experience in successfully curing right-sided Harlequin Syndrome through Video Assisted Thoracoscopic (VATS) Sympathectomy.

Lung cancer screening: The pulmonologist, the thoracic surgeon and working together in a team

“…Contemporary Australian data examining the Queensland thoracic surgical service has demonstrated that prior to the COVID‐19 pandemic, the wait time from CT scanning to surgery was 80 days. Concerningly, during the pandemic this increased to 96 days and consequently there was a greater rate of pathological upstaging 13 . While Victorian data shows an average time to intervention of 14 days, the overall national surgical capacity and performance remains unclear 13,14 …”

“…Concerningly, during the pandemic this increased to 96 days and consequently there was a greater rate of pathological upstaging 13 . While Victorian data shows an average time to intervention of 14 days, the overall national surgical capacity and performance remains unclear 13,14 …”