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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Irreversible Horner's syndrome after bilateral thoracoscopic sympathectomy
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Vol. 89. Issue 2.
Pages 79-81 (February 2014)
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Vol. 89. Issue 2.
Pages 79-81 (February 2014)
Short communication
Irreversible Horner's syndrome after bilateral thoracoscopic sympathectomy
Síndrome de Horner irreversible tras simpatectomía toracoscópica bilateral
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1662
P. Vicente
Corresponding author
mariapivf@hotmail.com

Corresponding author.
, E. Canelles, A. Díaz, A. Fons
Servicio de Oftalmología, Sección de Neurooftalmología, Servicio de Cirugía Torácica, Hospital Clínico Universitario de Valencia, Valencia, Spain
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Abstract
Case report

A 19-year-old boy who developed a right Horner's syndrome after a bilateral sympathectomy as a treatment for palmoplantar hyperhidrosis.

Discussion

Horner's syndrome is defined by the occurrence of miosis, ptosis and enophthalmos as a result of involvement of sympathetic innervation. This is quite rare, but identification is very important because it may also be an ominous sign secondary to a neoplasm, neurological diseases, or surgery of the sympathetic chain, as in our case.

Keywords:
Horner's syndrome
Pupil
Anisocoria
Palmar and plantar hyperhidrosis
Ptosis
Oculosympathetic paralysis
Resumen
Caso clínico

Paciente varón de 19 años que presenta síndrome de Horner de lado derecho tras simpatectomía bilateral como tratamiento a una hiperhidrosis palmoplantar.

Discusión

El síndrome de Horner es definido por la aparición de miosis, ptosis y enoftalmos como consecuencia de la afectación de la inervación simpática. Es una afectación bastante infrecuente, sin embargo es muy importante su identificación, pues puede corresponder a un signo ominoso secundario a neoplasias, enfermedades neurológicas o a cirugía de la cadena simpática, como es nuestro caso.

Palabras clave:
Síndrome de Horner
Pupila
Anisocoria
Hiperhidrosis palmoplantar
Ptosis
Parálisis oculosimpática

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