Harlequin Syndrome after Stellate Ganglia Neuroblastoma Resection

Irtan, Sabine; Auvrignon, Anne

doi:10.1016/j.jpeds.2016.05.076

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…[ 1 – 6 ] Reassurance and avoidance of any aggravating factors should be provided to patients. [ 5 , 6 ] In the case of our patient, harlequin syndrome spontaneously resolved without any treatment.…”

Section: Discussionmentioning

confidence: 55%

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Harlequin syndrome and Horner syndrome after neck schwannoma excision in a pediatric patient

Lee

Seong²,

Yoon³

et al. 2017

Medicine

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Rationale:Harlequin syndrome is an extremely rare benign condition characterized by unilateral facial flushing and sweating.Patient concern:An 11-year-old boy presented with complaint of a right neck mass of 1-month duration.Diagnosis:The preoperative diagnosis was neurogenic tumor of vagus nerve or sympathetic nerve.Interventions:We performed right neck mass removal under general anesthesia.Outcomes:We report a case of harlequin syndrome associated with Horner syndrome in an 11-year boy who underwent excision of right neck schwannoma.Lessons:Clinicians should consider the point that harlequin syndrome could occur as a first sign of more serious conditions.

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Section: Discussionmentioning

confidence: 55%

“…[ 1 – 4 ] In the case of our patient, harlequin syndrome and Horner syndrome were contemplated to have occurred by cervical sympathetic nerves injury and concomitant damage of the superior cervical ganglion during surgery. [ 5 , 6 ]…”

Section: Discussionmentioning

confidence: 99%

Harlequin syndrome and Horner syndrome after neck schwannoma excision in a pediatric patient

Lee

Seong²,

Yoon³

et al. 2017

Medicine

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“…In reported cases of iatrogenic damage, the sympathetic structures were injured in the apex of the lung or even further cranial. 2 4 15…”

Section: Discussionmentioning

confidence: 99%

“…The cause of HS can be idiopathic and iatrogenic in both adults and children. 1 2 3 4 Most of the pediatric cases are related to a certain cause, for example, surgical procedure close to the autonomous nervous system in the upper chest, whereas the pathogenesis of congenital cases of the syndrome is still unclear. Leading to disturbance of autonomous functions like sweating and thermoregulation of the skin HS can be regarded as autonomous dysautonomia.…”

Section: Introductionmentioning

confidence: 99%

Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF)

Wagner

Lacher

Merkenschlager

et al. 2019

European J Pediatr Surg Rep

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Harlequin syndrome (HS) is a rare dysautonomia of the sympathetic nervous system leading to asymmetric facial flushing and sweating. In the literature, only a few cases of HS after thoracoscopic tracheoesophageal fistula (TEF) repair are reported. We report on a newborn with TEF who developed HS after thoracoscopic repair. On the first day of life, the girl (3,480 g, gestation age: 41 week) underwent thoracoscopic repair of a type C esophageal atresia (TEF; OR time 105 minute) without complications. The postoperative course was uneventful, the patient swallowed and thrived well and did not require esophageal dilatations. At 2 years of age, missing facial flushing, transpiration, and warming on the right side of her face during agitation were noticed. As no further intervention was required, the girl and her parents adapted well to the symptoms. Our report shows that the late onset of HS after the surgical procedure is unlikely a direct causal relation to the thoracoscopic operation but rather a shared embryological pathogenesis, like a neurocristopathy.

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Neuroblastoma: Minimally Invasive Surgery

Fuchs

Warmann

2019

Neuroblastoma

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Harlequin Syndrome after Stellate Ganglia Neuroblastoma Resection

Cited by 6 publications

References 4 publications

Harlequin syndrome and Horner syndrome after neck schwannoma excision in a pediatric patient

Harlequin syndrome and Horner syndrome after neck schwannoma excision in a pediatric patient

Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF)

Neuroblastoma: Minimally Invasive Surgery

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