Document Detail


Iatrogenic Horner's syndrome secondary to chest tube thoracostomy.
MedLine Citation:
PMID:  6226721     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a 22-year-old male who underwent a left thoracostomy and left lower lobectomy for a shotgun wound of the left anterior chest. During surgery, two chest tubes were placed in the left hemithorax at the level of the first and second intervertebral spaces. On the 10th postoperative day, the patient developed a left-sided miosis and ptosis. The diagnosis of a left preganglionic Horner's syndrome was confirmed by pharmacologic testing. The Horner's syndrome was unchanged 3 months after discharge. We conclude that the chest tubes damaged the preganglionic sympathetic fibers of the left orbit resulting in this patient's Horner's syndrome.
Authors:
J A Fleishman; J D Bullock; J S Rosset; R W Beck
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical neuro-ophthalmology     Volume:  3     ISSN:  0272-846X     ISO Abbreviation:  J Clin Neuroophthalmol     Publication Date:  1983 Sep 
Date Detail:
Created Date:  1983-12-20     Completed Date:  1983-12-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109051     Medline TA:  J Clin Neuroophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  205-10     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Autonomic Fibers, Preganglionic / injuries
Horner Syndrome / etiology*
Humans
Iatrogenic Disease
Iris / innervation
Male
Surgical Procedures, Operative / adverse effects*
Sympathetic Nervous System / anatomy & histology,  injuries*
Thoracic Injuries / surgery*
Wounds, Gunshot / surgery*

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