小儿颈部神经鞘瘤切除术后的小丑综合征和霍纳综合征：一例报告
Harlequin syndrome and Horner syndrome after neck schwannoma excision in a pediatric patient: A case report.
作者信息
Lee Dong Hoon, Seong Jong Yuap, Yoon Tae Mi, Lee Joon Kyoo, Lim Sang Chul
机构信息
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Hwasun, Korea.
出版信息
Medicine (Baltimore). 2017 Nov;96(45):e8548. doi: 10.1097/MD.0000000000008548.
RATIONALE
Harlequin syndrome is an extremely rare benign condition characterized by unilateral facial flushing and sweating.
PATIENT CONCERN
An 11-year-old boy presented with complaint of a right neck mass of 1-month duration.
DIAGNOSIS
The preoperative diagnosis was neurogenic tumor of vagus nerve or sympathetic nerve.
INTERVENTIONS
We performed right neck mass removal under general anesthesia.
OUTCOMES
We report a case of harlequin syndrome associated with Horner syndrome in an 11-year boy who underwent excision of right neck schwannoma.
LESSONS
Clinicians should consider the point that harlequin syndrome could occur as a first sign of more serious conditions.
理论依据
丑角综合征是一种极为罕见的良性病症，其特征为单侧面部潮红和出汗。
患者关注
一名11岁男孩因右侧颈部肿物持续1个月前来就诊。
诊断
术前诊断为迷走神经或交感神经源性肿瘤。
干预措施
我们在全身麻醉下进行了右侧颈部肿物切除术。
结果
我们报告一例11岁男孩在接受右侧颈部神经鞘瘤切除术后出现与霍纳综合征相关的丑角综合征病例。
经验教训
临床医生应考虑到丑角综合征可能作为更严重疾病的首发症状出现这一点。
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