Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017 Dec;96(48):e8888.
doi: 10.1097/MD.0000000000008888.

Horner syndrome as a postoperative complication after minimally invasive video-assisted thyroidectomy: A case report

Xiaolei Hu  1 , Xiaomei Zhang, Huaiyong Gan, Dajun Yu, Weihua Sun, Zhaoming Shi
Affiliations
Case Reports

Horner syndrome as a postoperative complication after minimally invasive video-assisted thyroidectomy: A case report

Xiaolei Hu et al. Medicine (Baltimore). 2017 Dec.

Abstract

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.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflicts of interest.

Figures

Figure 1
Figure 1
Left papillary thyroid microcarcinoma (HE staining): (A) ×100; (B) ×400.
Figure 2
Figure 2
Patient with Horner syndrome. (A) Two days postoperative. (B) One month postoperative. (C) Six months postoperative. (D) One year postoperative.
See this image and copyright information in PMC

References

    1. Renard D, Jeanjean L, Labauge P. Heterochromia Iridis in congenital Horner's syndrome. Eur Neurol 2010;63:253. - PubMed
    1. Kanagalingam S, Miller NR. Horner syndrome: clinical perspectives. Eye Brain 2015;7:35–46. - PMC - PubMed
    1. Edvardsson B. Symptomatic cluster headache: a review of 63 cases. SpringerPlus 2014;3:64. - PMC - PubMed
    1. Aslankurt M, Aslan L, Colak M, et al. Horner's syndrome following a subtotal thyroidectomy for a benign nodular goitre. BMJ Case Rep 2013;2013:1–3. - PMC - PubMed
    1. Italiano D, Cammaroto S, Cedro C, et al. Horner syndrome following thyroidectomy. Neurol Sci 2011;32:531. - PubMed

Publication types