Sharma Riya, Chand Siddharth, Goyal Manoj Kumar, Shree Ritu
Department of Neurology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Neurohospitalist. 2025 May 21:19418744251345025. doi: 10.1177/19418744251345025.
A 13-year-old boy developed right-sided Horner's syndrome following resection of a benign mediastinal schwannoma extending from T1 to T3. Postoperatively, he exhibited ptosis, miosis, and anhidrosis, confirmed by starch iodine testing. The tumor likely involved the upper thoracic sympathetic ganglia-a rare site for schwannomas. This image highlights a rare iatrogenic cause of preganglionic Horner's syndrome. While Horner's is classically associated with apical lung or cervical lesions, this case emphasizes the importance of recognizing postoperative Horner's syndrome as a clinical clue to cervicothoracic sympathetic injury. It highlights the value of anatomical-clinical correlation in localizing lesions along the sympathetic pathway.
一名13岁男孩在切除一个从T1延伸至T3的良性纵隔神经鞘瘤后出现右侧霍纳综合征。术后，他表现出上睑下垂、瞳孔缩小和无汗，淀粉碘试验证实了这些症状。肿瘤可能累及上胸段交感神经节——神经鞘瘤的罕见部位。此病例突出了节前性霍纳综合征一种罕见的医源性病因。虽然霍纳综合征通常与肺尖或颈部病变相关，但该病例强调了将术后霍纳综合征视为颈胸交感神经损伤临床线索的重要性。它突出了解剖 - 临床相关性在交感神经通路沿线病变定位中的价值。
