Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Endocrinology
Volume 2017, Article ID 1689039, 3 pages
https://doi.org/10.1155/2017/1689039
Case Report

Horner Syndrome Secondary to Thyroid Surgery

1Department of Pediatric Endocrinology, School of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey
2Department of Pediatric Surgery, School of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey

Correspondence should be addressed to Meliha Demiral; moc.liamtoh@dahilemrd

Received 25 October 2016; Accepted 21 December 2016; Published 4 January 2017

Academic Editor: Thomas Grüning

Copyright © 2017 Meliha Demiral et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Horner syndrome (HS), caused by an interruption in the oculosympathetic pathway, is characterised by myosis, ipsilateral blepharoptosis, enophthalmos, facial anhydrosis, and vascular dilation of the lateral part of the face. HS is a rare complication of thyroidectomy. A 15-year-old female patient presented with solitary solid and large nodule in the right thyroid lobe. Ultrasound-guided fine-needle aspiration was performed and the cytological examination results were undefined. The patient underwent a total thyroidectomy. On postoperative day 2, she developed right-sided myosis and upper eyelid ptosis. HS was diagnosed. Interestingly, the patient exhibited an incomplete clinical syndrome with the absence of vasomotor symptoms. We herein report a case of HS in a 15-year-old female patient after total thyroidectomy. The possible causes of HS were ischaemia-induced nerve damage and stretching of the cervical sympathetic chain by the retractor during thyroidectomy. Clinicians should be aware of the possibility of this rare but important surgical complication.