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Horner syndrome as a postoperative complication after minimally invasive video-assisted thyroidectomy: A case report
Xiaolei Hu1, Xiaomei Zhang, Huaiyong Gan
1Department of Endocrinology Department of Pathology Department of Thyroid and Breast Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, Anhui, China.
Rationale:
Horner syndrome is an unusual complication after thyroidectomy.
Patient Concerns:
We report a case of Horner syndrome in a 34-year-old female patient with Graves disease associated with papillary thyroid carcinoma who underwent left-side minimally invasive video-assisted thyroidectomy and neck dissection.
Diagnosis:
Horner syndrome was diagnosed based on left myosis, eyelid ptosis, and mild enophthalmos, which developed in the patient on postoperative day 2.
Interventions:
The patient was administered glucocorticoids and neurotrophic drugs on postoperative day 3.
Outcome:
The symptoms of Horner syndrome were significantly relieved 1 year later.
Lessons:
Surgeons must be aware that Horner syndrome may be a source of iatrogenic complications, and patients also should be informed of these complications before surgery.
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