A Rare Case of Horner Syndrome Following Internal Jugular Vein Catheterization: Successful Management with Mullerectomy
Abstract
Horner syndrome is clinically characterized by miosis, ptosis, enophthalmos, anhidrosis. A 52-year-old male patient had aortic valve replacement surgery 6 months ago. The patient, who underwent right internal jugular vein (IJV) catheterization, was admitted to our clinic on the 15th day after developing postoperative ptosis and miosis in the right eye. During the follow-up period, since there was no clinical improvement in the 6th month and the Phenylephrine test was positive, mullerectomy surgery was performed. Horner syndrome is a very rare complication. It occurs due to damage to the hypothalamoocular sympathetic nerve pathway. Ptosis is one of the correctable complications. The advantage of mullerectomy is that it is performed while preserving the tarsus. The advantage of protecting the tarsus is to ensure eyelid stability, prevent malposition, prevent fold formation on the eyelid, protect the meibomian glands and reduce suture keratopathy. The rare complication of Horner syndrome after IJV catheterization should be kept in mind. Treatment of ptosis due to Horner syndrome can be performed with mullerectomy.
Keywords
Horner syndrome , Ptosis , Juguler vein catheterization , Mullerectomy
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