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由于良性甲状腺结节,经可乐定试验诊断为不可逆性霍纳综合征。

Irreversible Horner's syndrome diagnosed by aproclonidine test due to benign thyroid nodule.

机构信息

Coskun M, Department of Ophthalmology, Mustafa Kemal University, Medical Faculty, Hatay, Turkey.

Aydogan A, Department of General Surgery, Mustafa Kemal University, Medical Faculty, Hatay, Turkey.

出版信息

Pak J Med Sci. 2013 Jan;29(1):224-6. doi: 10.12669/pjms.291.2732.

DOI:10.12669/pjms.291.2732
PMID:24353546
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3809183/
Abstract

We are reporting an irreversible Horner Syndrome (HS) in a patient with benign thyroid gland nodule in which thyroidectomy was performed for treatment. A 37-year-old female was admitted to our clinic with a swelling in the left lobe of the thyroid gland and ptosis at the left eyelid. The clinical diagnosis of HS was confirmed pharmacologically by aproclonidine. Histopathologic examination of thyroidectomy specimen was reported as benign nodule. To the best of our knowledge, this is a very rare report in terms of thyroid benign nodule associated with irreversible HS due to cervical sympathetic chain compression.

摘要

我们报告了一例良性甲状腺结节患者在接受甲状腺切除术治疗后出现不可逆性霍纳综合征(HS)。一名 37 岁女性因左侧甲状腺肿胀和左侧眼睑下垂而到我院就诊。HS 的临床诊断通过盐酸可乐定得到了药物学的证实。甲状腺切除术标本的组织病理学检查报告为良性结节。据我们所知,这是一个非常罕见的病例,涉及到由于颈交感神经链压迫而导致的与良性甲状腺结节相关的不可逆性 HS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d11/3809183/1ecdefc3def3/PJMS-029-224-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d11/3809183/5a5740c6d83b/PJMS-029-224-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d11/3809183/1ecdefc3def3/PJMS-029-224-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d11/3809183/5a5740c6d83b/PJMS-029-224-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d11/3809183/1ecdefc3def3/PJMS-029-224-g002.jpg

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本文引用的文献

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Fine-needle aspiration biopsy in the diagnosis and follow-up of thyroid nodules in childhood.细针穿刺活检在儿童甲状腺结节诊断及随访中的应用
J Clin Res Pediatr Endocrinol. 2010;2(2):78-80. doi: 10.4274/jcrpe.v2i2.78. Epub 2010 May 5.
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Effects of central corneal thickness on the efficacy of topical ocular hypotensive medications.中央角膜厚度对局部降眼压药物疗效的影响。
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Horner's syndrome, Pseudo-Horner's syndrome, and simple anisocoria.霍纳综合征、假性霍纳综合征和单纯性瞳孔不等大。
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Prostatic adenocarcinoma metastasis in the thyroid gland.前列腺腺癌转移至甲状腺。
Endocr J. 2004 Aug;51(4):445-8. doi: 10.1507/endocrj.51.445.
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Functional lingual thyroid as unusual cause of progressive Dysphagia.功能性舌甲状腺作为进行性吞咽困难的罕见病因。
Thyroid. 2004 Apr;14(4):321-4. doi: 10.1089/105072504323030997.
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