Novel management of harlequin syndrome with stellate ganglion block

Reddy, H.; Fatah, S.; Gulve, Ashish; Carmichael, Andrew

doi:10.1111/bjd.12561

Cited by 16 publications

(16 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 2 Paradoxically, patients present with compensatory flushing and sweating on the unaffected, sympathetic innervated side of the face. 3 Arms and trunk may also be affected. Although rare, it is a remarkable disease.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Do you know this syndrome? Harlequin syndrome

Hans-Bittner

Bittner

Filho

2018

An. Bras. Dermatol.

View full text Add to dashboard Cite

Harlequin syndrome is a rare condition in which one half of the face fails to flush and sweat due to damage of the sympathetic fibers on the ipsilateral side. The majority of cases are idiopathic, but may be iatrogenic or caused by space-occupying lesions or brainstem infarction. We report a case of idiopathic harlequin syndrome in a 34-year-old man with a 5-month history of unilateral facial flushing and sweating after exercise. Despite the rarity of this syndrome, dermatologists should be aware of this condition in order to diagnose properly and provide multidisciplinary assistance.

show abstract

Section: Discussionmentioning

confidence: 99%

“… 5 Thorough investigation is required to rule out underlying structural lesions, some of which may require surgical correction. 1 , 3 …”

Section: Discussionmentioning

confidence: 99%

Do you know this syndrome? Harlequin syndrome

Hans-Bittner

Bittner

Filho

2018

An. Bras. Dermatol.

View full text Add to dashboard Cite

show abstract

“…However, this procedure is not always successful and can be complicated by further compensatory flushing and sweating in another location. Repeated stellate ganglion blocks might be used either as a preoperative screen for sympathectomy or as a less invasive alternative treatment [9]. Botulinum toxin was recently reported as effective, safe, and minimally invasive with a high degree of satisfaction [10].…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Harlequin Syndrome Manifesting during Exercise: A Case Report and Review of the Literature

Algahtani

Shirah

Algahtani

et al. 2017

Case Reports in Medicine

View full text Add to dashboard Cite

Harlequin syndrome is a rare autonomic disorder characterized by unilateral facial flushing and sweating with contralateral anhidrosis induced by exercise, heat, and emotion. It is usually idiopathic but could be the first manifestation of several serious underlying medical conditions. Medical or surgical treatments are not required for idiopathic Harlequin syndrome, but social and psychological factors may indicate sympathectomy or botulinum toxin injection. In this article, we report a case of idiopathic Harlequin syndrome and review the literature.

show abstract

“…The patient’s concerns are often relieved by explaining the pathophysiology and the benign nature of the condition. If the symptoms are not tolerable, a contralateral sympathectomy or a stellate ganglion block could be considered for symptom relief [8]. …”

Section: Discussionmentioning

confidence: 99%

Harlequin Syndrome Following Resection of Mediastinal Ganglioneuroma

Jeon

Son

Cho

2017

Korean J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Harlequin syndrome is a rare disorder of the sympathetic nervous system characterized by unilateral facial flushing and sweating. Although its etiology is unknown, this syndrome appears to be a dysfunction of the autonomic nervous system. To the best of our knowledge, thus far, very few reports on perioperative Harlequin syndrome after thoracic surgery have been published in the thoracic surgical literature. Here, we present the case of a 6-year-old patient who developed this unusual syndrome following the resection of a posterior mediastinal mass.

show abstract

Novel management of harlequin syndrome with stellate ganglion block

Cited by 16 publications

References 6 publications

Do you know this syndrome? Harlequin syndrome

Do you know this syndrome? Harlequin syndrome

Idiopathic Harlequin Syndrome Manifesting during Exercise: A Case Report and Review of the Literature

Harlequin Syndrome Following Resection of Mediastinal Ganglioneuroma

Contact Info

Product

Resources

About