| Reversible chest tube horner syndrome. | |
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MedLine Citation:
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PMID: 18769286 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 54-year-old woman who underwent chest tube placement after a lung biopsy was found on the first postoperative day to have ipsilateral ptosis and miosis, suggesting a Horner syndrome. A chest CT scan showed that the tip of the chest tube was apposed to the stellate ganglion. Repositioning of the chest tube later on the first postoperative day led to complete reversal of the Horner syndrome within 24 hours. We propose that the Horner syndrome arose as a result of pressure on the stellate ganglion, which interrupted neural conduction but did not sever the sympathetic pathway ("neurapraxia"). Whether prompt repositioning of the chest tube was critical in reversing the Horner syndrome is uncertain. |
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Authors:
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Michael Levy; David Newman-Toker |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society Volume: 28 ISSN: 1536-5166 ISO Abbreviation: J Neuroophthalmol Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-09-04 Completed Date: 2009-01-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9431308 Medline TA: J Neuroophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 212-3 Citation Subset: IM |
Affiliation:
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Department of Neurology, The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Autonomic Nervous System Diseases
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etiology*,
physiopathology Autonomic Pathways / injuries, physiopathology Biopsy / adverse effects Chest Tubes / adverse effects* Eye / innervation, physiopathology Female Horner Syndrome / etiology*, physiopathology Humans Hypohidrosis / etiology, physiopathology Iatrogenic Disease Lung Diseases / diagnosis Middle Aged Miosis / etiology, physiopathology Postoperative Complications / etiology, physiopathology, prevention & control Reoperation Stellate Ganglion / injuries*, physiopathology Sympathetic Fibers, Postganglionic / injuries*, physiopathology Thoracic Surgical Procedures / adverse effects*, instrumentation Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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