Horner syndrome as a postoperative complication after minimally invasive video-assisted thyroidectomy: A case report.

Abstract

RATIONALE:

Horner syndrome is an unusual complication after thyroidectomy.

PATIENT CONCERNS:

We report a case of Horner syndrome in a 34-year-old female patient with Graves disease associated with papillary thyroid carcinoma who underwent left-side minimally invasive video-assisted thyroidectomy and neck dissection.

DIAGNOSIS:

Horner syndrome was diagnosed based on left myosis, eyelid ptosis, and mild enophthalmos, which developed in the patient on postoperative day 2.

INTERVENTIONS:

The patient was administered glucocorticoids and neurotrophic drugs on postoperative day 3.

OUTCOME:

The symptoms of Horner syndrome were significantly relieved 1 year later.

LESSONS:

Surgeons must be aware that Horner syndrome may be a source of iatrogenic complications, and patients also should be informed of these complications before surgery.

• Authors: Xiaolei Hu, Xiaomei Zhang, Huaiyong Gan, Dajun Yu, Weihua Sun, Zhaoming Shi
• Journal: Medicine (Medicine (Baltimore)) Vol. 96 Issue 48 Pg. e8888 (Dec 2017) ISSN: 1536-5964 [Electronic] United States
• PMID: 29310374 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Female
• Graves Disease (surgery)
• Horner Syndrome (drug therapy)
• Humans
• Minimally Invasive Surgical Procedures
• Postoperative Complications (drug therapy)
• Thyroidectomy (methods)
• Video-Assisted Surgery