Domínguez CLG, Arellano AJG

Language: Spanish
References: 4
Page: 308-309
PDF size: 198.60 Kb.

Claude Bernard Horner's-syndrome consists of the classic triad of blepharoptosis, miosis, and ipsilateral facial anhidrosis, associated with apparent enophthalmos. Specifically, in patients undergoing cervical discectomy, the incidence of Horner's syndrome is uncommon, with reports indicating an incidence of 0.1 to 0.06%. Knowledge of the regional anatomy of the cervical sympathetic trunk is fundamental to limiting the iatrogenic syndrome of Horner; the subperiosteal dissection should be performed to facilitate the placement of the retractor under the longus colli muscle of the neck since lateral dissection of this muscle can cause sympathetic injury.

REFERENCES

1. Bernard C. Sur les effets de la section de la portion cephalique du grand sympathetique. C R Soc Biol. 1852; 4: 168-169.

2. Horner F. Über die Krümmung der Wirbelsaule in aufrechten Stehen [Thesis]. Suiza: University of Zürich; 1854.

3. Traynelis VC, Malone HR, Smith ZA, Hsu WK, Kanter AS, Qureshi SA et al. rare complications of cervical spine surgery: Horner's syndrome. Global Spine J. 2017; 7 (1 Suppl): 103S-108S.

4. Glatt HJ, Putterman AM, Fett DR. Muller's muscle-conjunctival resection procedure in the treatment of ptosis in Horner's syndrome. Ophthalmic Surg. 1990; 21 (2): 93-96.