Benign thyroid swelling presenting as Horner’s syndrome

2020 ◽  
Vol 13 (12) ◽  
pp. e235313
Author(s):  
Sherin K Shaji ◽  
Jacquline Chan ◽  
Churunal Hari
Keyword(s):  
Pressure Effect ◽  
Sympathetic Chain ◽  
Horner’S Syndrome ◽  
Nerve Supply ◽  
Common Condition ◽  
Horner's Syndrome ◽  
First Case ◽  
Cervical Sympathetic ◽  
Thyroid Swelling ◽  
Benign Thyroid

Horner’s syndrome is a rare neurological condition seen in association with the disruption in the sympathetic nerve supply. Thyroid swelling is a common condition but rarely causes cervical sympathetic chain compression. We describe a case of a 54-year-old man who presented with Horner’s syndrome secondary to a benign thyroid nodule with pressure effect on the sympathetic chain. An association between thyroid pathologies and Horner’s syndrome has been mentioned previously, however, to our knowledge, this is the first case of Horner’s syndrome being the initial presentation for an underlying benign thyroid swelling.

CASE REPORT: POURFOUR DU PETIT SYNDROME IN A PATIENT WITH MIGRAINE

2015 ◽  
Vol 86 (11) ◽  
pp. e4.169-e4
Author(s):  
Aseel Al-Ansari ◽  
Richard Jon Llewellyn Walters
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Sympathetic Chain ◽  
Horner’S Syndrome ◽  
Eyelid Retraction ◽  
Horner's Syndrome ◽  
Blurred Vision ◽  
History Of ◽  
Cervical Sympathetic ◽  
Unusual Symptoms

A 45-year old woman presented with a twelve-month history of intense migraines. She described episodes of blurred vision in association with the headaches, during which she invariably found that one or other of her pupils became dilated with a degree of eyelid retraction on the affected side. These unusual symptoms resolved spontaneously with improvement of the headache.After exclusion of a lesional cause with brain and neck imaging, we concluded that her symptoms were secondary to autonomic dysfunction in relation to her headache.Horner's syndrome is due to paralysis of the ipsilateral cervical sympathetic chain and comprises ptosis, miosis, enopthalmos and anhidrosis. A Reverse Horner's syndrome, otherwise known as Pourfour du Petit, in theory, is the opposite, and comprises eyelid retraction, mydriasis and hyperhidrosis. Where documented, it is attributed to irritation, rather than complete deficiency of the ipsilateral sympathetic chain. Previous case reports have shown that Pourfour du Petit can occur due to the same mechanisms as a Horner's syndrome. In only one other case report has it been described as an autonomic feature in relation to headache.

Cervical Sympathetic Chain Schwannoma: An Uncommon Cause of Horner's Syndrome

2012 ◽  
Vol 70 (4) ◽  
pp. 851-855 ◽  
Author(s):  
Laura Villanueva-Alcojol ◽  
Florencio Monje ◽  
Raul Gonzalez-García ◽  
David Gonzalez Ballester ◽  
Jesús Mateo Arias ◽  
...  
Keyword(s):  
Sympathetic Chain ◽  
Horner’S Syndrome ◽  
Horner's Syndrome ◽  
Cervical Sympathetic Chain ◽  
Cervical Sympathetic

scholarly journals Horner’s syndrome caused by the cervical sympathetic chain schwannoma

2019 ◽  
Vol 29 (1) ◽  
pp. 73-78
Author(s):  
Yusuke Kiyokawa ◽  
Hiroaki Kawabe ◽  
Nobuaki Koide ◽  
Yumiko Tateishi ◽  
Akihisa Tasaki ◽  
...  
Keyword(s):  
Sympathetic Chain ◽  
Horner’S Syndrome ◽  
Horner's Syndrome ◽  
Cervical Sympathetic Chain ◽  
Cervical Sympathetic

scholarly journals Postthyroidectomy Horner’s Syndrome

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Ramon Vilallonga ◽  
José Manuel Fort ◽  
Alejandro Mazarro ◽  
Oscar Gonzalez ◽  
Enric Caubet ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Thyroid Surgery ◽  
Malignant Tumors ◽  
Rare Complication ◽  
Sympathetic Chain ◽  
Horner’S Syndrome ◽  
Horner's Syndrome ◽  
Cervical Sympathetic Chain ◽  
Cervical Sympathetic

Horner’s syndrome (HSd) results from an injury along the cervical sympathetic chain, producing ipsilateral miosis, ptosis, enophthalmos, and facial anhydrosis. Although more commonly associated to malignant tumors affecting the preganglionar segment of the sympathetic chain (especially in the lung apex), HSd has been described as a rare complication of thyroid surgery. We herein report a case of HSd after completing total thyroidectomy.

Horner’s Syndrome Due to a Large Schwannoma of the Cervical Sympathetic Chain: Report of Case

2005 ◽  
Vol 63 (5) ◽  
pp. 707-710 ◽  
Author(s):  
Massimo Politi ◽  
Corrado Toro ◽  
Roberto Cian ◽  
Fabio Costa ◽  
Massimo Robiony
Keyword(s):  
Sympathetic Chain ◽  
Horner’S Syndrome ◽  
Horner's Syndrome ◽  
Cervical Sympathetic Chain ◽  
Cervical Sympathetic

scholarly journals A rare lesion of the wanderer’s nerve with an unusual postoperative complication: vagal nerve schwanomma

2021 ◽  
Vol 7 (8) ◽  
pp. 1369
Author(s):  
Jagnnatha B. ◽  
Pandu Dasappa ◽  
Suhasini Hanumaiah ◽  
Arunima Sheeja
Keyword(s):  
Vagal Nerve ◽  
Sympathetic Chain ◽  
Horner’S Syndrome ◽  
Nerve Sparing ◽  
Common Symptom ◽  
Horner's Syndrome ◽  
Direct Injury ◽  
Rare Lesion ◽  
Cervical Sympathetic ◽  
Work Up

<p class="abstract">Vagal nerve schwannomas are rare parapharyngeal tumours which was first described by Figi in 1933. Hoarseness is the most common symptom. Occasionally, a paroxysmal cough may be produced on palpating the mass. This is a clinical sign, unique to vagal schwannoma. Presence of this sign, along with a mass located on the medial border of the sternocleidomastoid muscle, should make clinicians suspicious of vagal nerve sheath tumours. However, in our case, the patient presented to us with a swelling in the neck and no other symptoms. MRI in the pre-operative work-up is helpful in defining diagnosis and in evaluating the extent and the relationship. A careful intracapsular enucleation with nerve-sparing technique remains the treatment of choice in order to avoid nerve injury which can lead to vocal cord paralysis. Horner’s syndrome following cervical surgeries is a rare phenomenon. Its occurrence following excision of a vagal schwannoma can occur due to direct injury to cervical sympathetic chain during excision or indirect injury due to traction on the sympathetic chain. Here is a case report of a patient diagnosed with left vagal scwanomma who developed horner’s syndrome post operatively.</p>

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