Robert Daroff The case report by Nautiyal et al. [1] is an instructive reminder that the fi rst episode of an acute painful Horner Syndrome should prompt imaging of the ipsilateral internal carotid artery, since carotid dissection (as well as other conditions, such as high-grade stenosis) needs to be ruled out. Unfortunately, the authors perpetuate the extremely common misconception that enopht...

To cite: Sandoval MAS, Cabungcal AC. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015209324 DESCRIPTION A 63-year-old woman presented with a right anterior neck mass that enlarged rapidly over 2 months. She had dysphagia but did not have hoarseness, dyspnoea or thyrotoxic symptoms. Preoperative CT scan revealed a 7.6×8.8×7.3 cm mass, well-defined, heterogeneou...

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 anes...

The association of unilateral trochlear nerve palsy with Claude Bernard-Horner syndrome represents a rare clinical condition. We present the case of a patient with this unusual presentation. The investigation performed implicated cerebrovascular disease as the underlying cause of the condition in this patient.