Postexertional harlequin syndrome with spontaneous improvement.
نویسنده
چکیده
To cite: Emsley HCA. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200516 DESCRIPTION This man’s episodes of unilateral sweating (figure 1), flushing and piloerection started after heavy physical work moving 20 tons of gravel. Harlequin syndrome may be due to an underlying defect in the region of the thoracic sympathetic outflow as discussed in the literature. Sudomotor and vasomotor sympathetic fibres exiting the spinal cord through the second and third thoracic roots have been implicated and it is conceivable that extreme exertion may have been associated with arterial dissection and disruption of an anterior radicular artery at this level. Thoracoscopic sympathectomy was considered but not performed and he did show spontaneous improvement over 3 years of follow-up.
منابع مشابه
Late Postoperative Harlequin Syndrome Coexisting With Horner Syndrome After Thoracic Epidural Anesthesia
The predominant features of Harlequin syndrome are unilateral facial flushing and sweating. Harlequin syndrome has been reported in different clinical conditions including brain stem infarction, superior mediastinal neurinoma, and internal jugular vein catheterization.1,2 Idiopathic and iatrogenic cases have been reported. The clinical features of Horner syndrome are ptosis, miosis, enophthalmo...
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Harlequin syndrome is a rare neurological condition that results in unilateral facial flushing and sweating. Although the syndrome is generally a benign condition with complete resolution if appropriate treatment is initiated, unilateral facial flushing can be a sign of several serious conditions and should be thoroughly investigated. Sudden onset of facial flushing related to harlequin syndrom...
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ورودعنوان ژورنال:
- BMJ case reports
دوره 2013 شماره
صفحات -
تاریخ انتشار 2013