Harlequin syndrome and Horner syndrome after neck schwannoma excision in a pediatric patient: A case report

Harlequin syndrome is an extremely rare benign condition characterized by unilateral facial flushing and sweating. An 11-year-old boy presented with complaint of a right neck mass of 1-month duration. The preoperative diagnosis was neurogenic tumor of vagus nerve or sympathetic nerve. We performed r...

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Bibliographic Details
Published in:Medicine (Baltimore) 2017-11, Vol.96 (45), p.e8548-e8548
Main Authors: Lee, Dong Hoon, Seong, Jong Yuap, Yoon, Tae Mi, Lee, Joon Kyoo, Lim, Sang Chul
Format: Article
Language:English
Subjects:
Autonomic Nervous System Diseases - etiology
Child
Clinical Case Report
Flushing - etiology
Head and Neck Neoplasms - surgery
Horner Syndrome - etiology
Humans
Hypohidrosis - etiology
Male
Neck Dissection - adverse effects
Neurilemmoma - surgery
Postoperative Complications
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Summary:Harlequin syndrome is an extremely rare benign condition characterized by unilateral facial flushing and sweating. An 11-year-old boy presented with complaint of a right neck mass of 1-month duration. The preoperative diagnosis was neurogenic tumor of vagus nerve or sympathetic nerve. We performed right neck mass removal under general anesthesia. We report a case of harlequin syndrome associated with Horner syndrome in an 11-year boy who underwent excision of right neck schwannoma. Clinicians should consider the point that harlequin syndrome could occur as a first sign of more serious conditions.
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000008548