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Case report
Benign thyroid swelling presenting as Horner’s syndrome
  1. Sherin K Shaji,
  2. Jacquline Chan and
  3. Churunal Hari
  1. Department of Otolaryngology, Shrewsbury and Telford Hospital NHS Trust, Telford, UK
  1. Correspondence to Dr Sherin K Shaji; sherin.shaji{at}


Horner’s syndrome is a rare neurological condition seen in association with the disruption in the sympathetic nerve supply. Thyroid swelling is a common condition but rarely causes cervical sympathetic chain compression. We describe a case of a 54-year-old man who presented with Horner’s syndrome secondary to a benign thyroid nodule with pressure effect on the sympathetic chain. An association between thyroid pathologies and Horner’s syndrome has been mentioned previously, however, to our knowledge, this is the first case of Horner’s syndrome being the initial presentation for an underlying benign thyroid swelling.

  • head and neck surgery
  • thyroid disease
  • pupil
  • ear
  • nose and throat/otolaryngology

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  • Contributors SKS carried the literature review and wrote the case report. JC assisted in proof reading and drafting of the case report. CH provided the case report and participated in the layout and structure of the report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.