rss
BMJ Case Reports 2013; doi:10.1136/bcr-2013-009907
  • CASE REPORT

Horner's syndrome following a subtotal thyroidectomy for a benign nodular goitre

  1. Adnan Aksoy1
  1. 1Faculty of Medicine, Department of Ophthalmology, Sutcu Imam University, Kahramanmaraş, Turkey
  2. 2Department of General Surgery, Pazarcık State Hospital, Kahramanmaraş, Turkey
  1. Correspondence to Dr Murat Aslankurt, maslankurt80{at}hotmail.com

Summary

We present a case of Horner's syndrome occurring as a complication of thyroidectomy. A 42-year-old female patient presented with eyelid drop which developed immediately after thyroidectomy for goitre. Ophthalmic examination revealed eyelid ptosis, miosis and anhidrosis. Preoperative ultrasonography showed multiple isohyperechogenic solid nodules in each lobe, consistent with multinodular goitre. Therefore, the patient underwent subtotal thyroidectomy. The ophthalmic findings did not improve at the end of 6 months follow-up. Similar cases have been reported related to neck tumours or their surgery, mediastinum-located goitre and retropharyngeal abscess surgeries, but not after benign nodular goitre surgery. Several possible mechanisms have been proposed to explain this phenomenon; anatomical variations making the patient susceptible to damage to the sympathetic chain seem to be most likely in our patient.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article