Mastronikolis Nicholas S, Spiliopoulou Sofia P, Zolota Vassiliki, Papadas Theodoros A
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Patras Medical School, 26504 Rio, Patras, Greece.
Department of Pathology, University Hospital of Patras Medical School, 26504 Rio, Patras, Greece.
Case Rep Otolaryngol. 2016;2016:7348175. doi: 10.1155/2016/7348175. Epub 2016 Apr 21.
Horner's syndrome is characterized by a combination of ipsilateral miosis, blepharoptosis, enophthalmos, facial anhidrosis, and iris heterochromia in existence of congenital lesions. The syndrome results from a disruption of the ipsilateral sympathetic innervation of the eye and ocular adnexa at different levels. Though rare, thyroid and neck surgery could be considered as possible causes of this clinical entity. We present a case of Horner's syndrome in a patient after total thyroidectomy and neck dissection for medullary thyroid cancer with neck nodal disease and attempt a brief review of the relevant literature.
霍纳综合征的特征是在存在先天性病变时，患侧出现瞳孔缩小、上睑下垂、眼球内陷、面部无汗和虹膜异色。该综合征是由于患侧眼和眼附属器不同水平的交感神经支配中断所致。甲状腺和颈部手术虽罕见，但可被视为该临床病症的可能病因。我们报告一例甲状腺髓样癌伴颈部淋巴结转移患者在全甲状腺切除及颈部清扫术后出现霍纳综合征的病例，并对相关文献进行简要综述。
