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Horner syndrome as an unusual presentation of cervical radiculomyelopathy associated with cervical disc herniation: A case report

INTRODUCTION AND IMPORTANCE: Horner syndrome, an oculo-sympathetic pathway disorder, is a very rare manifestation of cervical spine pathologies which usually present with either axial neck pain, radiculopathy, or myelopathy symptoms (or combinations of these). It is more-likely to happen in the uppe...

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Autores principales: Librianto, Didik, Ipang, Fachrisal, Saleh, Ifran, Aprilya, Dina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445451/
https://www.ncbi.nlm.nih.gov/pubmed/37603919
http://dx.doi.org/10.1016/j.ijscr.2023.108666
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author Librianto, Didik
Ipang, Fachrisal
Saleh, Ifran
Aprilya, Dina
author_facet Librianto, Didik
Ipang, Fachrisal
Saleh, Ifran
Aprilya, Dina
author_sort Librianto, Didik
collection PubMed
description INTRODUCTION AND IMPORTANCE: Horner syndrome, an oculo-sympathetic pathway disorder, is a very rare manifestation of cervical spine pathologies which usually present with either axial neck pain, radiculopathy, or myelopathy symptoms (or combinations of these). It is more-likely to happen in the upper cervical level involvement. CASE PRESENTATION: A 44-year-old male presented with a complaint of right eyelid drop two months before admission. The symptom was accompanied by radicular neck pain and weakness of the right upper extremity (M4) since 1 month earlier. An MRI revealed a cervical herniated disc at the C5–6 spine level. CLINICAL DISCUSSION: The patient underwent open discectomy followed by cervical disc replacement. Symptoms were significantly improved following surgery. CONCLUSION: In the presence of cervical symptoms, a focused evaluation of Horner syndrome can be done, and symptom resolution can be expected after the appropriate treatment. Otherwise, a thorough examination must be obtained to find the pathology along the tract of the oculo-sympathetic pathway and prevent irreversible neurological disturbance.
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spelling pubmed-104454512023-08-24 Horner syndrome as an unusual presentation of cervical radiculomyelopathy associated with cervical disc herniation: A case report Librianto, Didik Ipang, Fachrisal Saleh, Ifran Aprilya, Dina Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Horner syndrome, an oculo-sympathetic pathway disorder, is a very rare manifestation of cervical spine pathologies which usually present with either axial neck pain, radiculopathy, or myelopathy symptoms (or combinations of these). It is more-likely to happen in the upper cervical level involvement. CASE PRESENTATION: A 44-year-old male presented with a complaint of right eyelid drop two months before admission. The symptom was accompanied by radicular neck pain and weakness of the right upper extremity (M4) since 1 month earlier. An MRI revealed a cervical herniated disc at the C5–6 spine level. CLINICAL DISCUSSION: The patient underwent open discectomy followed by cervical disc replacement. Symptoms were significantly improved following surgery. CONCLUSION: In the presence of cervical symptoms, a focused evaluation of Horner syndrome can be done, and symptom resolution can be expected after the appropriate treatment. Otherwise, a thorough examination must be obtained to find the pathology along the tract of the oculo-sympathetic pathway and prevent irreversible neurological disturbance. Elsevier 2023-08-18 /pmc/articles/PMC10445451/ /pubmed/37603919 http://dx.doi.org/10.1016/j.ijscr.2023.108666 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Librianto, Didik
Ipang, Fachrisal
Saleh, Ifran
Aprilya, Dina
Horner syndrome as an unusual presentation of cervical radiculomyelopathy associated with cervical disc herniation: A case report
title Horner syndrome as an unusual presentation of cervical radiculomyelopathy associated with cervical disc herniation: A case report
title_full Horner syndrome as an unusual presentation of cervical radiculomyelopathy associated with cervical disc herniation: A case report
title_fullStr Horner syndrome as an unusual presentation of cervical radiculomyelopathy associated with cervical disc herniation: A case report
title_full_unstemmed Horner syndrome as an unusual presentation of cervical radiculomyelopathy associated with cervical disc herniation: A case report
title_short Horner syndrome as an unusual presentation of cervical radiculomyelopathy associated with cervical disc herniation: A case report
title_sort horner syndrome as an unusual presentation of cervical radiculomyelopathy associated with cervical disc herniation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445451/
https://www.ncbi.nlm.nih.gov/pubmed/37603919
http://dx.doi.org/10.1016/j.ijscr.2023.108666
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