| Title |
Reversible chest tube horner syndrome. |
| Creator |
Levy, Michael; David Newman-Toker, MD, PhD, Associate Professor, Departments of Neurology, Ophthalmology, & Otolaryngology, The Johns Hopkins University School of Medicine |
| Affiliation |
Department of Neurology, The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA. |
| Abstract |
A 54-year-old woman who underwent chest tube placement after a lung biopsy was found on the first postoperative day to have ipsilateral ptosis and miosis, suggesting a Horner syndrome. A chest CT scan showed that the tip of the chest tube was apposed to the stellate ganglion. Repositioning of the chest tube later on the first postoperative day led to complete reversal of the Horner syndrome within 24 hours. We propose that the Horner syndrome arose as a result of pressure on the stellate ganglion, which interrupted neural conduction but did not sever the sympathetic pathway (""neurapraxia""). Whether prompt repositioning of the chest tube was critical in reversing the Horner syndrome is uncertain. |
| Subject |
Autonomic Nervous System Diseases; Autonomic Pathways; Biopsy; Chest Tubes; Eye; Female; Horner Syndrome; Humans; Hypohidrosis; Iatrogenic Disease; Lung Diseases; Middle Older people; Miosis; Postoperative Complications; Reoperation; Stellate Ganglion; Sympathetic Fibers, Postganglionic; Thoracic Surgical Procedures; Tomography, X-Ray Computed; Treatment Outcome |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225726 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6gj2q18/225726 |
