Fringeli Yannick, Humm Andrea M, Ansorge Alexandre, Maestretti Gianluca
Spine Unit, Department of Orthopaedic Surgery; and.
Unit of Neurology, Department of Internal Medicine, Cantonal Hospital Fribourg, Switzerland.
J Neurosurg Spine. 2017 Jun;26(6):684-687. doi: 10.3171/2016.11.SPINE16711. Epub 2017 Mar 10.
Harlequin syndrome is a rare autonomic disorder referring to the sudden development of flushing and sweating limited to one side of the face. Like Horner syndrome, associating miosis, ptosis, and anhidrosis, Harlequin syndrome is caused by disruption of the cervical sympathetic pathways. Authors of this report describe the case of a 55-year-old female who presented with both Harlequin sign and Horner syndrome immediately after anterior cervical discectomy (C6-7) with cage fusion and anterior spondylodesis. They discuss the pathophysiology underlying this striking phenomenon and the benign course of this condition. Familiarity with this unusual complication should be of particular interest for every specialist involved in cervical and thoracic surgery.
丑角综合征是一种罕见的自主神经功能障碍，表现为面部一侧突然出现潮红和出汗。与霍纳综合征相似，丑角综合征伴有瞳孔缩小、上睑下垂和无汗，由颈交感神经通路中断引起。本报告的作者描述了一名55岁女性的病例，该女性在颈椎前路椎间盘切除术（C6-7）并进行椎间融合器融合和前路椎体融合术后立即出现了丑角征和霍纳综合征。他们讨论了这一显著现象背后的病理生理学以及该病症的良性病程。对于参与颈椎和胸椎手术的每位专科医生来说，熟悉这种不寻常的并发症都应格外关注。
