A Case of Isolated Horner’s Syndrome in Patient with Work Related Penetrating Neck Injury

Abstract

Purpose: To present a work related penetrating neck injury that was refered to our department for Horner`s Syndrome (HS).

Case Presentation: A 48-year-old male was referred to Ophthalmology department due to blurred vision in his left eye. In his medical history, he had a work related penetrating neck injury by a four cm metal of diamond cutting piece one year ago. On physical and ophthalmologic examination, ptosis and miosis were detected on his left eye.

Conclusion: Artery injuries should be kept in mind, if HS accompany a neck injury.  To best of our knowledge our case report is the first occupational HS with a projectile object.

Keywords

• Horner`s Syndrome,Work Related,Neck Injury,Ptozis,Miosis,trauma

References

1. 1- Roper-Hall G. Historical Vignette: Johann Friedrich Horner (1831-1886): Swiss Oph-thalmologist, Scientific Contributor, and Accomplished Academician. Am Orthopt J. 2016 ;66(1):126-134.
2. 2- Abbas A, Manjila S, Singh M, et al. Johann Friedrich Horner and the Repeated Dis-covery of Oculosympathoparesis: Whose Syndrome Is It? Neurosurgery. 2015;77(3):486-491.
3. 3- Sadaka A, Schockman SL, Golnik KC. Evaluation of Horner Syndrome in the MRI Era. J Neuroophthalmol. 2017;37(3):268-272.
4. 4- Bruce-Chwatt RM, Al-Shihabi B, Dawkins R. Horner’s syndrome associated with air-rifle wound of the neck: a case report. J Laryngol Otol. 1980;94(12):1441-1446.
5. 5- Liu GT, Deskin RW, Bienfang DC. Horner’s syndrome caused by intra-oral trauma. J Clin Neuroophthalmol. 1992;12(2):110-115.
6. 6- Scaglione M, Pinto F, Grassi R, et al. Migration of a foreign body from the pharynx to the soft tissues of the neck: delayed presentation with Horner’s syndrome. AJR Am J Roentgenol. 1999;172(4):1131-1132.
7. 7- Schievink WI, Atkinson JL, Bartleson JD, et al. Traumatic internal carotid artery dis-sections caused by blunt softball injuries. Am J Emerg Med. 1998;16(2):179-182.
8. 8- Matsumoto H, Noji Y, Hirota K, et al. Blunt carotid artery injury after accidental neck compression: report of a case. Surg Today. 2000;30(5):477-480.

9. 9- García-Manzanares MD, Belda-Sanchis JI, Giner-Pascual M, et al. Brown-Sequard syndrome associated with Horner’s syndrome after a penetrating trauma at the cervi-comedullary junction. Spinal Cord. 2000;38(11):705707.
10. 10- Edwards A, Andrews R. A case of Brown-Sequard syndrome with associated Horn-er’s syndrome after blunt injury to the cervical spine. Emerg Med J. 2001;18(6):512513.
11. 11- Chan CC, Paine M, O’Day J. Carotid dissection: a common cause of Horner’s syn-drome. Clin Exp Ophthalmol. 2001;29(6):411-415.
12. 12- Starr BE, Shubert RA, Baumann B. A child with isolated Horner’s syndrome after blunt neck trauma. J Emerg Med. 2004;26(4):425-427.
13. 13- Ozel SK, Kazez A. Horner syndrome due to first rib fracture after major thoracic trauma. J Pediatr Surg. 2005;40(10):e17-19.
14. 14- Toledano R, Corres J, Culebras A, Riva E, Masjuán J. Isolated Horner’s syndrome caused by intraoral gunshot. Emerg Med J. 2006;23(12):e65.
15. 15-Aydin H, Koçer B, et al. Vertebral artery injury in a stab wound at neck resulting in ipsilateral horner’s syndrome: a case report. CaseRepClinPractRev 2006; 7:258-262.
16. 16- Paiva WS, De Amorim RL, Tavares WM, et al. Horner’s syndrome after blunt cervi-cal and chest trauma: case report. Arq Neuropsiquiatr. 2007;65(4A):1037-1039.
17. 17-Dubois-Marshall S, De Kock S. Two days with a broken knife blade in the neck--an interesting case of Horner’s syndrome. Emerg Med J. 2011;28(7):629-631.
18. 18- Wessel MM, Dinkin MJ, Phillips CD, et al. Traumatic ptosis and mydriasis masking Horner syndrome from an internal carotid pseudoaneurysm. Ophthalmic Plast Reconstr Surg. 2011;27(4):e92-94.
19. 19- Creavin ST, Rice CM, Pollentine A, et al. Carotid artery dissection presenting with isolated headache and Horner syndrome after minor head injury. Am J Emerg Med. 2012;30(9):2103.e5-7.
20. 20- Muddaiah A, Banigo A, Galli F, et al. Sexual asphyxia causing blunt carotid artery injury and Horner’s syndrome. J Laryngol Otol. 2012;126(12):1292-1295.
21. 21-Ahmedi O, Saxena P, Wilson BKJ, Bunton RW. First Rib Fracture and Horner’s Syndrome: A Rare Clinical Entity. Ann Thorac Surg 2013;95:355. 22- Kalantzis G, Georgalas I, Chang BY, et al. An Unusual Case of Traumatic Internal Carotid Artery Dissection during Snowboarding. J Sports Sci Med. 2014;13(2):451453.
22. 23- Sayan M, Celik A. The Development of Horner Syndrome following a Stabbing. Case Rep Med. 2014;2014:461787.
23. 24- Lin YC, Chuang MT, Hsu CH, et al. First Rib Fracture Resulting in Horner’s Syn-drome. J Emerg Med. 2015;49(6):868-870.
24. 25- Johnson S, Jones M, Zumsteg J. Brown-Séquard syndrome without vascular injury associated with Horner’s syndrome after a stab injury to the neck. J Spinal Cord Med. 2016;39(1):111-114.
25. 26- Ofri A, Malka V, Lodh S. Horner’s syndrome in traumatic first rib fracture without ca-rotid injury; review of anatomy and pathophysiology. Trauma Case Rep. 2017;8:1-4.
26. 27- Garberi C, Ravizza R, Colombo R, et al. Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report. Med Lav. 2018;110(5):387-390.
27. 28- Umana E, Bajwa R, Davidson I, et al. Hit by the wave: a case of painful Horner’s and intramural haematoma of the carotid. BMJ Case Rep. 2018;2018. pii: bcr-2018225660.
28. 29-Rao PM, Bhatti MF, Gaudino J, et al. Penetrating injuries of the neck: criteria for ex-ploration. J Trauma. 1983;23(1):47-49.
29. 30- Nowicki JL, Stew B, Ooi E. Penetrating neck injuries: a guide to evaluation and management. Ann R Coll Surg Engl. 2018;100(1):6-11.
30. 31- Múnera F, Soto JA, Palacio D, et al. Diagnosis of arterial injuries caused by pene-trating trauma to the neck: comparison of helical CT angiography and conventional an-giography. Radiology. 2000 ;216(2):356-362.
31. 32- Bell RL, Atweh N, Ivy ME, et al. Traumatic and Iatrogenic Horner Syndrome: Case Reports and Review of the Literature. The Journal of Trauma: Injury, Infection, and Crit-ical Care 2001; 51(2):400- 404.
32. 33-Post-thyroidectomy iatrogenic Horner’s syndrome with heterochromia Mahmut Oğuz Ulusoy, Sertaç Argun Kıvanç, Mehmet Atakan, et al. J Curr Ophthalmol. 2016; 28(1): 46–47.
33. 34-Knyazer B, Smolar J, Lazar I, et al. Iatrogenic Horner Syndrome: Etiology, Diagnosis and Outcomes. Isr Med Assoc J. 2017;19(1):34-38.