Ryu Somi, Won Seongjun, Lee Sang Yun, Park Jung Je
Department of Otorhinolaryngology, Head and Neck Surgery, Gyeongsang National UniversityHospital, Jinju, South Korea.
Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea.
Ear Nose Throat J. 2025 Mar;104(1_suppl):146S-149S. doi: 10.1177/01455613221125920. Epub 2022 Sep 2.
Horner's syndrome is characterized by a triad of symptoms (ipsilateral miosis, ptosis, and anhidrosis) with damage of the sympathetic nervous system. The condition may be congenital or acquired from traumatic conditions including cardiovascular surgery. Horner's syndrome can be also caused by neck trauma especially when cervical vital structures such as blood vessels, the aerodigestive tract, and nerves are disrupted. This report describes a 16-year-old woman with delayed Horner's syndrome who initially presented with internal jugular vein injury caused by multiple penetrating stab injury to the neck. To the best of our knowledge, this is the first reported case of Horner's syndrome resulting from neck trauma of which symptoms were presented after a couple of weeks after initial trauma. Understanding this rare clinical course may help surgeons pay attention to not only early hospital course but also long-term complications of patients with neck trauma.
霍纳综合征的特征是出现一组三联征症状（同侧瞳孔缩小、上睑下垂和无汗），伴有交感神经系统损伤。该病可能是先天性的，也可能由包括心血管手术在内的创伤性疾病引起。霍纳综合征也可由颈部创伤导致，尤其是当血管、气消化道和神经等颈部重要结构受到破坏时。本报告描述了一名16岁女性，患有延迟性霍纳综合征，最初表现为颈部多处穿透性刺伤导致颈内静脉损伤。据我们所知，这是首例因颈部创伤导致霍纳综合征的报告病例，其症状在初始创伤几周后才出现。了解这一罕见的临床病程可能有助于外科医生不仅关注患者早期的住院情况，还关注颈部创伤患者的长期并发症。
