Iatrogenic Horner’s syndrome after insertion of a central venous catheter: recommendations for clinical practice

Springer Science and Business Media LLC - Tập 34 Số 1 - 2022
Taimoor Ashraf Khan1, Sheharyar Zameer2, Umer Zeeshan Ijaz1, Maryam Zahid3, Noor Ul Ain Zameer2
1Armed Forces Institute of Ophthalmology, Rawalpindi, Pakistan
2Combined Military Hospital, Rawalpindi, Pakistan
3Monash Health, Melbourne, Australia

Tóm tắt

Abstract Background Horner’s syndrome is a rare complication of central venous catheter (CVC) insertion. It comprises a triad of unilateral ptosis, ipsilateral meiosis with a normally reactive pupil, and ipsilateral facial anhidrosis of variable spread. Case presentation A 25-year-old female who underwent CVC insertion developed ptosis, reverse ptosis, meiosis, dilational lag, and enophthalmos after her procedure. The patient was diagnosed with a case of Horner’s syndrome attributed to occulosympathetic damage due to CVC in the catheter, after exclusion of all other sources. The patient was counseled regarding the etiology of the disease and advised monthly follow-up. Conclusions Horner’s syndrome is an uncommon complication that can easily be prevented by corrections in technique and experience. The study emphasizes the establishment of diagnostic and preventive principles for HS.

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Tài liệu tham khảo

Kanagalingam S, Miller NR (2015) Horner syndrome: clinical perspectives. Eye and brain. 7:35. https://doi.org/10.2147/EB.S63633

Horner F (1968) On a form of ptosis. Arch Neurol 19(5):541–542. https://doi.org/10.1001/archneur.1968.00480050111013

Butty Z, Gopwani J, Mehta S, Margolin E (2016) Horner’s syndrome in patients admitted to the intensive care unit that have undergone central venous catheterization: a prospective study. Eye 30(1):31–33. https://doi.org/10.1038/eye.2015.181

Maloney WF, Younge BR, Moyer NJ (1980) Evaluation of the causes and accuracy of pharmacologic localization in Horner’s syndrome. Am J Ophthalmol 90(3):394–402. https://doi.org/10.1016/S0002-9394(14)74924-4

Ateş Ö, Koçyiğit İ, Cilan H, Oğuzhan N, Tokgöz B, Oymak O (2013) Horner syndrome following ınternal jugular vein catheter ınsertion: report of two cases. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 22(2):218–220. https://doi.org/10.5262/tndt.2013.1002.16

Vinod KV, Sivabal V, Vidya MV (2017) Iatrogenic Horner's syndrome: a cause for diagnostic confusion in the emergency department. World J Emerg Med 8(3):235. https://doi.org/10.5847/wjem.j.1920-8642.2017.03.014

Mughal M, Longmuir R (2009) Current pharmacologic testing for Horner syndrome. Curr Neurol Neurosci Rep 9(5):384–389. https://doi.org/10.1007/s11910-009-0056-z

Almog Y, Gepstein R, Kesler A (2010) Diagnostic value of imaging in horner syndrome in adults. J Neuro-Ophthalmol 30(1):7–11. https://doi.org/10.1097/WNO.0b013e3181ce1a12

Narouze S, Vydyanathan A, Patel N (2007) Ultrasound-guided stellate ganglion block successfully prevented esophageal puncture. Pain Physician 10(6):747. https://doi.org/10.36076/ppj.2007/10/747

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Tập 34 Số 1

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