경부 및 상부흉곽 술기 후 발생한 의인성 호르너증후군

• 영문명: Iatrogenic Horner’s Syndrome After Procedure in the Neck and Upper Thoracic Area
• 발행기관: 대한안과학회
• 저자명: 조영준 이연희 윤용준 이성복,Young Joon Jo, MD,, Yeon Hee Lee, MD,, Yong Jun Yun, MD, Sung Bok Lee, MD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number6, 809~815쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.06.15

영문 초록

Purpose: To investigate the natural course of iatrogenic Horner’s syndrome induced by procedures in the neck and upper thoracic areas. Methods: Four patients who developed ptosis after undergoing procedures near the neck and upper thoracic areas were diagnosed with iatrogenic Horner’s syndrome. We evaluated the clinical courses of the patients retrospectively. We also performed a systematic Medline search through Pubmed to find patients with iatrogenic Horner’s syndrome. We summarized onset times and natural courses of reported cases. Results: In two cases, ptosis improved completely within 2 and 4 months. In the other two cases, ptosis persisted through the last follow-up. As a result of our Medline search, we identified 51 cases in 47 journals. In 31 patients (62%), symptoms improved from 17 minutes to 3 months after surgery. However, in 20 patients (38%), symptoms persisted for up to 20 months. Conclusions: Although the mechanism underlying iatrogenic Horner’s syndrome induced by procedures in the neck and upper thoracic area is not clearly understood, the syndrome may occur when the sympathetic nerve pathway is damaged directly or indirectly. Surgical correction should be postponed because this rare complication may resolve spontaneously within 4 months. The surgeon should explain the possibility of Horner’s syndrome to patients after neck and upper thoracic surgery.

키워드

Catheterization, Horner’s syndrome, Iatrogenic, Ptosis, Stellate ganglion