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Iatrogenic Horner's syndrome
S Cavazza1, C Bocciolini, E Gasparrini
1Department of Ophthalmology, Maggiore Hospital, Bologna - Italy. stefano.cavazza@ausl.bologna.it
European Journal of Ophthalmology
|July 8, 2005
Summary
Horner's syndrome can occur after surgery for cervical schwannomas or sympathectomy for hyperhidrosis. Patients should be informed about this potential complication following these procedures.
Area of Science:
- Neurosurgery
- Thoracic Surgery
- Ophthalmology
Background:
- Horner's syndrome is a condition characterized by miosis, ptosis, anhidrosis, and enophthalmos.
- It results from damage to the sympathetic nerves supplying the face and eye.
Observation:
- Two cases of postoperative Horner's syndrome are presented.
- The first case occurred after the ablation of a cervical sympathetic chain schwannoma.
- The second case developed after upper thoracic sympathectomy for primary palmar hyperhidrosis.
Findings:
- Postoperative Horner's syndrome after schwannoma ablation is linked to the intricate relationship between the tumor and adjacent nerves, often necessitating their simultaneous removal.
- Patients undergoing thorascopic sympathectomy for hyperhidrosis should be counseled regarding the risk of developing Horner's syndrome.
Implications:
- This report highlights the importance of surgical technique and patient counseling in managing risks associated with sympathetic chain interventions.
- Awareness of these potential complications can improve patient outcomes and surgical decision-making.