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Horner’s Syndrome After Anterior Decompression and Fusion for Cervical Spine Pathologies: Report of Two Cases

Horner’s syndrome is caused by impairment of the sympathetic trunk, resulting in associated ptosis, miosis, and anhidrosis. The cervical sympathetic trunk is sometimes damaged during an anterior approach to the lower cervical spine. We report two cases of Horner’s syndrome after anterior decompressi...

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Autores principales: Umimura, Tomotaka, Maki, Satoshi, Koda, Masao, Furuya, Takeo, Ohtori, Seiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8384399/
https://www.ncbi.nlm.nih.gov/pubmed/34458040
http://dx.doi.org/10.7759/cureus.16633
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author Umimura, Tomotaka
Maki, Satoshi
Koda, Masao
Furuya, Takeo
Ohtori, Seiji
author_facet Umimura, Tomotaka
Maki, Satoshi
Koda, Masao
Furuya, Takeo
Ohtori, Seiji
author_sort Umimura, Tomotaka
collection PubMed
description Horner’s syndrome is caused by impairment of the sympathetic trunk, resulting in associated ptosis, miosis, and anhidrosis. The cervical sympathetic trunk is sometimes damaged during an anterior approach to the lower cervical spine. We report two cases of Horner’s syndrome after anterior decompression and fusion for lower cervical spine pathologies. Case 1 was in a 58-year-old woman with a herniated C5-6 intervertebral disc presenting myelopathy who underwent anterior cervical discectomy and fusion of C5-6. After the operation, miosis and anhidrosis of the right face occurred, and the symptoms continued for more than 15 years. Case 2 was in a 40-year-old woman whose diagnosis was flexion myelopathy with kyphosis at C5-6 and canal stenosis, so she underwent anterior cervical C5-6 discectomy and fusion of C5-6. Immediately after surgery, ptosis and miosis occurred, which lasted for four months. Horner’s syndrome tends to occur during anterior cervical spine procedures, especially at the lower level, and the syndrome may be transient or irreversible. During an anterior approach to the lower cervical spine, taking care not to damage the sympathetic trunk is important to avoid this complication.
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spelling pubmed-83843992021-08-26 Horner’s Syndrome After Anterior Decompression and Fusion for Cervical Spine Pathologies: Report of Two Cases Umimura, Tomotaka Maki, Satoshi Koda, Masao Furuya, Takeo Ohtori, Seiji Cureus Neurosurgery Horner’s syndrome is caused by impairment of the sympathetic trunk, resulting in associated ptosis, miosis, and anhidrosis. The cervical sympathetic trunk is sometimes damaged during an anterior approach to the lower cervical spine. We report two cases of Horner’s syndrome after anterior decompression and fusion for lower cervical spine pathologies. Case 1 was in a 58-year-old woman with a herniated C5-6 intervertebral disc presenting myelopathy who underwent anterior cervical discectomy and fusion of C5-6. After the operation, miosis and anhidrosis of the right face occurred, and the symptoms continued for more than 15 years. Case 2 was in a 40-year-old woman whose diagnosis was flexion myelopathy with kyphosis at C5-6 and canal stenosis, so she underwent anterior cervical C5-6 discectomy and fusion of C5-6. Immediately after surgery, ptosis and miosis occurred, which lasted for four months. Horner’s syndrome tends to occur during anterior cervical spine procedures, especially at the lower level, and the syndrome may be transient or irreversible. During an anterior approach to the lower cervical spine, taking care not to damage the sympathetic trunk is important to avoid this complication. Cureus 2021-07-26 /pmc/articles/PMC8384399/ /pubmed/34458040 http://dx.doi.org/10.7759/cureus.16633 Text en Copyright © 2021, Umimura et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Umimura, Tomotaka
Maki, Satoshi
Koda, Masao
Furuya, Takeo
Ohtori, Seiji
Horner’s Syndrome After Anterior Decompression and Fusion for Cervical Spine Pathologies: Report of Two Cases
title Horner’s Syndrome After Anterior Decompression and Fusion for Cervical Spine Pathologies: Report of Two Cases
title_full Horner’s Syndrome After Anterior Decompression and Fusion for Cervical Spine Pathologies: Report of Two Cases
title_fullStr Horner’s Syndrome After Anterior Decompression and Fusion for Cervical Spine Pathologies: Report of Two Cases
title_full_unstemmed Horner’s Syndrome After Anterior Decompression and Fusion for Cervical Spine Pathologies: Report of Two Cases
title_short Horner’s Syndrome After Anterior Decompression and Fusion for Cervical Spine Pathologies: Report of Two Cases
title_sort horner’s syndrome after anterior decompression and fusion for cervical spine pathologies: report of two cases
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8384399/
https://www.ncbi.nlm.nih.gov/pubmed/34458040
http://dx.doi.org/10.7759/cureus.16633
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