Juguler Ven Kateterizasyonunu Sonrası Nadir Bir Horner Sendromu Olgusu: Müllerektomi ile Tedavisi

Yıl 2026, Cilt: 7 Sayı: 1, 264 - 267, 31.01.2026

Betül Dertsiz Kozan , Bahadır Utlu

https://doi.org/10.47482/acmr.1684981

Öz

Horner sendromu klinik olarak miyozis, pitozis, enoftalmos, anhidrozis ile karakterizedir. 52 yaşında erkek hasta 6 ay önce aort kapak replasmanı ameliyatı geçirdi. Sağ internal juguler ven (IJV) kateterizasyonu yapılan hasta, sağ gözünde postoperatif pitozis ve miyozis geliştikten sonra 15. günde kliniğimize başvurdu. Takip süresince 6. ayda klinik düzelme olmaması ve fenilefrin testinin pozitif olması üzerine müllerektomi ameliyatı yapıldı. Horner sendromu çok nadir görülen bir komplikasyondur. Hipotalamoküler sempatik sinir yolunun hasar görmesi nedeniyle oluşur. Pitozis düzeltilebilir komplikasyonlardan biridir. Müllerektominin avantajı tarsusu koruyarak yapılmasıdır. Tarsusu korumanın avantajı göz kapağı stabilitesini sağlamak, malpozisyonu önlemek, göz kapağında kıvrım oluşumunu önlemek, meibomian bezlerini korumak ve sütür keratopatisini azaltmaktır. IJV kateterizasyonundan sonra Horner sendromunun nadir görülen komplikasyonu akılda tutulmalıdır. Horner sendromuna bağlı pitozisin tedavisi müllerektomi ile yapılabilir.

Anahtar Kelimeler

Horner sendromu , Pitozis , Juguler ven kateterizasyon , Müllerektomi

Etik Beyan

Vaka sunumu olduğu için etik kurul onayı alınmamıştır. Hastadan yazılı bilgilendirilmiş onam formu alındı.

Destekleyen Kurum

yok

Teşekkür

yok

A Rare Case of Horner Syndrome Following Internal Jugular Vein Catheterization: Successful Management with Mullerectomy

Öz

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.

Anahtar Kelimeler

Horner syndrome , Ptosis , Juguler vein catheterization , Mullerectomy

Etik Beyan

Ethics approval was not required for this case report, as per institutional and international guidelines. Written informed consent for clinical evaluation and treatment was obtained from the patient.

Destekleyen Kurum

The authors received no financial support for the research, authorship, or publication of this article.

Teşekkür

The authors thank the patient for providing consent for publication.

Kaynakça

• Khan Z, Bollu PC. Horner Syndrome. 2023 Apr 10. In: StatPearls (Internet). Treasure Island (FL): StatPearls Publishing; 2025 Jan. PMID: 29763176.
• Martin TJ. Horner Syndrome: A Clinical Review. ACS Chem Neurosci. 2018 Feb 21;9(2):177-86.
• Zwueste DM, Grahn BH. A review of Horner's syndrome in small animals. Can Vet J. 2019 Jan;60(1):81-88. Erratum in: Can Vet J. 2023 Nov;64(11):1050. PMID: 30651655; PMCID: PMC6294019.
• Moyers JR. Application of the basic physical examination to intra operative monitoring. In: Morgan GE, Mikhail MS, Murray MJ, editors. Clinical anesthesiology. 4th ed. New York: Mc Graw-Hill Medical; 2006:148-69.
• Walton KA, Buono LM. Horner syndrome. Curr Opin Ophthalmol. 2003 Dec;14(6):357-63.
• Kanagalingam S, Miller NR. Horner syndrome: Clinical perspectives. Eye Brain. 2015 Apr 10;7:35-46.
• Alstadhaug KB. Ervervet Horners syndrom (Acquired Horner's syndrome). Tidsskr Nor Laegeforen. 2011 May 20;131(9-10):950-4.
• Taskapan H, Oymak O, Dogukan A, Utas C. Horner's syndrome secondary to internal jugular catheterization. Clin Nephrol. 2001 Jul;56(1):78-80.
• Polderman KH, Girbes AJ. Central venous catheter use. Part 1: mechanical complications. Intensive Care Med. 2002;28:1-17.
• Muhm M. Ultrasound guided central venous access. BMJ. 2002 Dec 14;325(7377):1373-4.
• Fierz FC, Disse LR, Bockisch CJ, Weber KP. Apraclonidine—An eye opener. Front Ophthalmol (Lausanne). 2022 Aug 9;2:902821.
• Martel A. Conduite à tenir devant un ptosis (Management of ptosis). J Fr Ophtalmol. 2022 Feb;45(2):233-46. Zou ZY, Yao YT. Horner Syndrome Caused by Internal Jugular Vein Catheterization. J Cardiothorac Vasc Anesth. 2020 Jun;34(6):1636-40.
• Dryden SC, Rho JE, Fowler SC, Gannon EW, Houser KH, Fleming JC, et al. Postoperative Clinical Outcomes Using Standard Variables Following Levator-Mullerectomy Advancement Blepharoptosis Surgery. J Craniofac Surg. 2021 Sep 1;32(6):554-56.