Horner’s Syndrome-Torticollis Relation; a Case Report

YILDIRIM GÜZELANT, ALİYE; Topal, ilknur; SARIFAKIOĞLU, Ayşe Banu; PAKETÇI, CEM

Horner’s Syndrome-Torticollis Relation; a Case Report

İlknur CAN, (Namık Kemal University, School of Medicine, Department of Physical Medicine and Rehabilitation,Tekirdağ, Turkey)

Ayşe Banu SARIFAKIOĞLU, (Namık Kemal University, School of Medicine, Department of Physical Medicine and Rehabilitation,Tekirdağ, Turkey)

CEM PAKETÇI, (Namık Kemal University, School of Medicine, Department of Pediatrics, Tekirdağ, Turkey)

Aliye YILDIRIM GÜZELANT (Namık Kemal Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Tekirdağ, Türkiye)

Medicine Science

2 0

Yıl: 2016 Cilt: 5 Sayı: 3 Sayfa Aralığı: 829 - 837 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Horner’s Syndrome-Torticollis Relation; a Case Report

Öz:

Horner Sendromu, okülosempatik yolaktaki kesinti nedeniyle gözün sempatik innervasyon kaybı sonucu pitozis, miyozis, tek taraflı anhidrozis ve nadiren enoftalmus klinik semptomları ile karakterize nadir görünen bir klinik tablodur. Konjenital musküler tortikollis, sternokleidomastoid kasının fibrozisi ve buna bağlı kısalması ile oluşan bir kas iskelet sistemi malformasyonudur. Bu olgu sunumunda, konjenital musküler tortikollise ikincil gelişen horner sendromu ve bunun rehabilitasyon sürecindeki tanısı ele alınmıştır. Üç aylık bir kız bebek, konjenital musküler tortikollis tanısıyla, çocuk sağlığı ve hastalıkları polikliniği tarafından birimimize yönlendirildi. Öyküsünden, ikiz eşi olarak 34 haftalık gebelik sonrası sezaryen ile doğduğu, doğum sonrası yoğun bakım ihtiyacı olmadığı, ilk kez bir buçuk aylıkken ailesi tarafından boyunda asimetri fark edildiği ve çocuk sağlığı ve hastalıkları polikliniğine başvurduğu öğrenildi. Fizik muayenesinde kraniyofasiyal asimetri, servikal sol lateral fleksiyon, sola rotasyonda kısıtlılık ve olive belirtisi vardı. Rehabilitasyon sırasındaki takiplerinde yüzünün sağ yarısında anhidrozis, daha silik olarak sol tarafta miyozis ve pitozis bulguları da fark edilerek hastaya Horner Sendromu tanısı konuldu. Ayırıcı tanısı yapılarak olası diğer nedenler dışlandı ve etiyoloji hastadaki mevcut tortikollise bağlandı. Sonuç olarak hastalar tortikollis yönünden değerlendirilirken, nadir de olsa, tortikollise Horner Sendromu'nun eşlik edebileceği, klinik bulgular silik seyredebileceğinden tanının kolayca gözden kaçabileceği akılda tutulmalıdır

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Horner Sendromu Tortikollis İlişkisi; bir Olgu Sunumu

Öz:

Horner Syndrome is a rare condition characterized with ptosis, miosis, unilateral anhidrosis and rarely enophtalmos resulting from the sympathetic innervation loss by interruption of oculosymathetic pathway. Congenital muscular torticollis is a musculoskeletal system malformation resulting from fibrosis, therefore shortening of sternocleidomastoid muscle. In this report, Horner’s syndrome secondary to congenital muscular torticollis and diagnosis in rehabilitation period are discussed. Three-month-old baby girl was referred to our unit by pediatrics clinic with congenital muscular torticollis diagnosis. Her history comprised of cesarean delivery following a 34-week pregnancy as twin, and no intensive care need; her parents realized asymmetry in neck when she was a-month-anda-half old and they admitted to pediatrics. Craniofacial asymmetry, cervical left lateral flexion, restricted left rotation and olive sign were detected in physical examination. During rehabilitation, anhidrosis in the right side of face, soft left miosis and ptosis were also observed, and patient was diagnosed with Horner’s syndrome. Other possible reasons were ruled out with differential diagnosis and etiology was linked to torticollis. Consequently, while evaluating patients with torticollis, it must be considered that Horner’s syndrome, rarely accompanies, and since clinical findings may be soft, diagnosis may easily be missed out

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

1. Burde RM, Savino PJ, Trobe JD. Clinical Decisions in Neuro-ophthalmology. 3rd edition. Mosby, St. Louis, 2002:246-58.
2. Walton KA, Buono LM. Horner Syndrome. Curr Opin Ophthalmol. 2003;14(6):357- 63.
3. Mahoney NR, Liu GT, Menacker SJ, Wilson MC, Hogarty MD, Maris JM. Pediatric Horner Syndrome: Etiologies and roles of imaging and urine studies to detect neuroblastoma and other responsible mass lesions. Am J Ophthalmol. 2006;142(4):651-9.
4. Girod DA, Bigler SA, Coltrera MD. Riedel’s thyroiditis: report of a lethal case and review of the literature. Otolaryngol Head Neck Surg. 1992;107(4):591-5.
5. Yasmeen T, Khan S, Patel SG, Reeves WA, Gonsch FA, De Bustros A, Kaplan EL. Riedel’s Thyroiditis: Report of a case complicated by spontaneous hypoparathyroidism, recurrent laryngea
6. Waldhausen JHT, Trapper D. Head and neck sinuses and masses. In: Ashcraft KW, editor. Pediatric Surgery. 3rd edition. WB Saunders, Philadelphia, 2000;987-99.
7. George NDL, Gonzalez G, Hoyt CS. Does Horner’s Syndrome in infancy require investigation? Br J Ophthalmol. 1998;82(1):51-4.
8. Beasley SW. Torticollis. In: Welch KJ, editor. Pediatric surgery. 5th edition. Mosby Publication YearBook, St. Louis, 1998;773-8.
9. Jones PG. Torticollis. In: Welch KJ editor. Pediatric surgery. 4th edition. Year Book Medical, Chicago, 1986;552-6.
10. Cheng JC, Tang SP, Chen TM, Wong MW, Wong EM. The clinical presentation and outcome of treatment of congenital muscular torticollis in infants – a study of 1,086 cases. J Pediatr Surg. 2000;35(7):1091-6.
11. Cheng JC, Au AW. Infantile torticollis: a review of 624 cases. J Pediatr Orthop. 1994;14(6): 802-8.
12. Chen CE, Ko JY. Surgical treatment of muscular torticollis for patients above 6 years of age. Arch Orthop Trauma Surg. 2000;120(3-4):149-51.
13. Sönmez K, Türkyilmaz Z, Demiroğullari B, Ozen IO, Karabulut R, Bağbanci B, Başaklar AC, Kale N. Congenital muscular torticollis in children. ORL J Otorhinolaryngol Relat Spec. 2005;67(6):344-7.
14. Ling CM. The influence of age on the results of open sternomastoidtenotomy in muscular torticollis. Clin Orthop. 1976;116:142-8.
15. 15.Wirth CJ, Hagena FW, Siebert WF. Biterminaltenotomy for the treatment of congenital muscular tortoicollis. Long-term results. J Bone Joint Surg Am. 1992;74(3):427-34.
16. Collins A, Jankovic J. Botilinum toxin injection for congenital muscular torticollis presenting in children and adults. Neurology. 2006;67(6):1083-5.
17. Oleszek JL, Chang N, Apkon SD, Wilson PE. Botulinum toxin type a in the treatment of children with congenital muscular torticollis. Am J Phys Med Rehabil. 2005;84(10):813-6.
18. Gupta M, Dinakaran S, Chan TK. Congenital Horner syndrome and hemiplegia secondary to carotid dissection. J Pediatr Ophthalmol Strabismus. 2005;42(2):122-4.
19. Starr BE, Shubert RA, Baumann B. A child with isolated Horner’s syndrome after blunt neck trauma. J Emerg Med. 2004;26(4):425-7.
20. Koçer A, Eryılmaz M, Karataş A, Özdem Ş. Lateral Torticollis: Report of a Case Complicated by Horner’s Syndrome. Turk J Phys Med Rehab. 2011;57(2);369-70.
21. Musarella M, Chan HSL, DeBoer G, Gallie BL. Ocular involvement in neuroblastoma: prognostic implications. Ophthalmology. 1984;91(8):936-40.
22. La Brosse EH, Com-Nougue C, Zucker JM, Comoy E, Bohuon C, Lemerle J, et al. Urinary excretion of 3-methoxy-4-hydroxymandelic acid and 3-methoxy-4- hydroxyphenyl-acetic acid by 288 patients with neuroblastoma and related neural crest tumors. Cancer Res. 1980;40(6):1995-2001.
23. Jeffery AR, Ellis FJ, Repka MX, Buncic JR. Pediatric Horner syndrome. J AAPOS. 1998;2(3):159-67.
24. Jennett RJ, Tarby TJ, Kreinick CJ. Brachial plexus palsy: an old problem revisited. Am J Obstet Gynecol. 1992;166(6 pt 1):1673-6.
25. Bennet GC, Harrold AJ. Prognosis and early management of birth injuries to the brachial plexus. Br Med J. 1976;1(6024):1520-1.
26. Specht EE. Brachial plexus palsy in the newborn. Incidence and prognosis. Clin Orthop Relat Res. 1975;110:32-4.

APA	Topal i, SARIFAKIOĞLU A, PAKETÇI C, YILDIRIM GÜZELANT A (2016). Horner’s Syndrome-Torticollis Relation; a Case Report. , 829 - 837.
Chicago	Topal ilknur,SARIFAKIOĞLU Ayşe Banu,PAKETÇI CEM,YILDIRIM GÜZELANT ALİYE Horner’s Syndrome-Torticollis Relation; a Case Report. (2016): 829 - 837.
MLA	Topal ilknur,SARIFAKIOĞLU Ayşe Banu,PAKETÇI CEM,YILDIRIM GÜZELANT ALİYE Horner’s Syndrome-Torticollis Relation; a Case Report. , 2016, ss.829 - 837.
AMA	Topal i,SARIFAKIOĞLU A,PAKETÇI C,YILDIRIM GÜZELANT A Horner’s Syndrome-Torticollis Relation; a Case Report. . 2016; 829 - 837.
Vancouver	Topal i,SARIFAKIOĞLU A,PAKETÇI C,YILDIRIM GÜZELANT A Horner’s Syndrome-Torticollis Relation; a Case Report. . 2016; 829 - 837.
IEEE	Topal i,SARIFAKIOĞLU A,PAKETÇI C,YILDIRIM GÜZELANT A "Horner’s Syndrome-Torticollis Relation; a Case Report." , ss.829 - 837, 2016.
ISNAD	Topal, ilknur vd. "Horner’s Syndrome-Torticollis Relation; a Case Report". (2016), 829-837.

APA	Topal i, SARIFAKIOĞLU A, PAKETÇI C, YILDIRIM GÜZELANT A (2016). Horner’s Syndrome-Torticollis Relation; a Case Report. Medicine Science, 5(3), 829 - 837.
Chicago	Topal ilknur,SARIFAKIOĞLU Ayşe Banu,PAKETÇI CEM,YILDIRIM GÜZELANT ALİYE Horner’s Syndrome-Torticollis Relation; a Case Report. Medicine Science 5, no.3 (2016): 829 - 837.
MLA	Topal ilknur,SARIFAKIOĞLU Ayşe Banu,PAKETÇI CEM,YILDIRIM GÜZELANT ALİYE Horner’s Syndrome-Torticollis Relation; a Case Report. Medicine Science, vol.5, no.3, 2016, ss.829 - 837.
AMA	Topal i,SARIFAKIOĞLU A,PAKETÇI C,YILDIRIM GÜZELANT A Horner’s Syndrome-Torticollis Relation; a Case Report. Medicine Science. 2016; 5(3): 829 - 837.
Vancouver	Topal i,SARIFAKIOĞLU A,PAKETÇI C,YILDIRIM GÜZELANT A Horner’s Syndrome-Torticollis Relation; a Case Report. Medicine Science. 2016; 5(3): 829 - 837.
IEEE	Topal i,SARIFAKIOĞLU A,PAKETÇI C,YILDIRIM GÜZELANT A "Horner’s Syndrome-Torticollis Relation; a Case Report." Medicine Science, 5, ss.829 - 837, 2016.
ISNAD	Topal, ilknur vd. "Horner’s Syndrome-Torticollis Relation; a Case Report". Medicine Science 5/3 (2016), 829-837.