Mokhashi Nikita, Tobias Joseph, Angelos Peter, Shah Hassan
Department of Ophthalmology and Visual Sciences, University of Chicago, Chicago, USA.
Department of Surgery, Endocrine Surgery Program, University of Chicago, Chicago, USA.
Cureus. 2025 Mar 26;17(3):e81227. doi: 10.7759/cureus.81227. eCollection 2025 Mar.
A 56-year-old woman presented for evaluation of a right thyroid nodule causing dysphagia. Thyroid function tests were normal. Ultrasound showed an isoechoic right thyroid nodule measuring 3.6 × 2.1 × 3.5 cm. After fine needle biopsy demonstrated benign pathology, ultrasound-guided radiofrequency ablation (RFA) of the nodule was performed. One day after the procedure, the patient developed a miotic, non-reactive right pupil, right upper eyelid and cheek swelling, right upper eyelid ptosis, and injection of the right eye. The patient was diagnosed with Horner syndrome (HS). RFA is a safe, minimally invasive procedure for the treatment of benign thyroid nodules. However, providers performing RFA should be aware of the possibility of HS in the immediate post-procedural period and beyond.
一名56岁女性因右甲状腺结节导致吞咽困难前来评估。甲状腺功能检查正常。超声显示一个等回声的右甲状腺结节，大小为3.6×2.1×3.5厘米。细针穿刺活检显示为良性病变后，对该结节进行了超声引导下射频消融（RFA）。术后一天，患者出现右瞳孔缩小、无反应，右上眼睑和脸颊肿胀，右上眼睑下垂，以及右眼充血。患者被诊断为霍纳综合征（HS）。RFA是治疗良性甲状腺结节的一种安全、微创的方法。然而，进行RFA的医护人员应意识到术后即刻及之后发生HS的可能性。
