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Horner syndrome in glandular fever: a case report

Published online by Cambridge University Press:  06 January 2016

E V West ,
F Sheerin  and
J E H M Bates
E V West*
Affiliation:
Department of Plastic Surgery, Norfolk and Norwich University Hospitals, Norwich, UK
F Sheerin
Affiliation:
Department of Neuroradiology, Oxford University Hospitals NHS Trust, UK
J E H M Bates
Affiliation:
Department of Plastic Surgery, Oxford University Hospitals NHS Trust, UK
*
Address for correspondence: Ms E V West, Department of Plastic Surgery, Norfolk and Norwich University Hospitals, Colney Lane, Norwich NR4 7UY, UK E-mail: emilyvwest@gmail.com
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Abstract

Objective:

This study aimed to present and discuss the case of a patient with known glandular fever who presented with Horner syndrome.

Case report:

A 35-year-old patient with known glandular fever developed acute unilateral Horner syndrome, a previously undescribed complication of this common illness. Magnetic resonance imaging and magnetic resonance angiography showed that enlarged intra-carotid sheath lymphoid tissue was likely to be the underlying cause of sympathetic nerve disruption. The case is described, the anatomy of the sympathetic chain is discussed and possible alternative pathophysiological mechanisms are reviewed.

Conclusion:

This is the first report in the worldwide literature of Horner syndrome arising as a result of compression from enlarged lymph nodes in glandular fever.

Keywords

Horner SyndromeInfectious MononucleosisCaroid Artery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 2 , February 2016 , pp. 207 - 209
Copyright
Copyright © JLO (1984) Limited 2016 

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