| Coexisting harlequin and Horner syndromes after paediatric neck dissection: a case report and a review of the literature. | |
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MedLine Citation:
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PMID: 17556055 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Harlequin syndrome, the presentation of hemifacial flushing and sweating, is a well recognized, though rarely reported, phenomenon associated with cervical sympathetic trauma. It is thought to result from disruption to sudomotor and vasomotor neurons present in the cervical sympathetic chain. The more common Horner's syndrome classically comprises the triad of unilateral miosis, ptosis and ipsilateral facial anhydrosis, and may also present as a sequela of cervical sympathetic denervation. We report a 26-month-old child with concomitant Horner's and harlequin syndromes, following neck dissection to address a large cervical lymphatic malformation. To our knowledge this is the first reported case of both syndromes resulting from surgery, and illustrates the particular challenge of lymphatic malformations in neck surgery due to their non-adherence to anatomical planes. |
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Authors:
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Jai N Darvall; Adel W Morsi; Anthony Penington |
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Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2007-06-07 |
Journal Detail:
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Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: 61 ISSN: 1878-0539 ISO Abbreviation: - Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-10-14 Completed Date: 2008-11-28 Revised Date: 2009-05-21 |
Medline Journal Info:
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Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1382-4 Citation Subset: IM |
Affiliation:
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Department of Plastic Surgery, Royal Children's Hospital, Flemington Road, Parkville 3052, Victoria, Australia. jdarvall@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Child, Preschool Face / innervation, pathology Flushing / etiology*, pathology Horner Syndrome / etiology* Humans Lymphatic Abnormalities / surgery* Male Neck Dissection / adverse effects* Sweating Sympathetic Nervous System / injuries Syndrome |
| Comments/Corrections | |
Comment In:
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J Plast Reconstr Aesthet Surg. 2009 Feb;62(2):269-70
[PMID:
19081311
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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