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Case report
Lymphatic malformation with acquired Horner syndrome in an infant
  1. Birgit Spors1,
  2. Joerg Seemann2,
  3. Natalie Homer3,
  4. Aaron Fay3,4
  1. 1 Department of Pediatric Radiology, Klinik für Strahlenheilkunde, Charite Hospital, Berlin, Germany
  2. 2 Clinic for Radiology and Neurosurgery, Klinikum Barnim GmbH, Werner Forssmann Krankenhaus, Eberswalde, Brandenburg, Germany
  3. 3 Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA
  4. 4 Center for Vascular Malformation, Werner-Forssmann Krankenhaus, Eberswalde, Germany
  1. Correspondence to Dr Natalie Homer, Department of Ophthalmology, Massachusetts Eye and Ear, Boston, Massachusetts 02114, USA; nhomer68{at}gmail.com

Abstract

An infant presented with right upper eyelid ptosis and was subsequently diagnosed with acquired Horner syndrome. Further evaluation revealed a right-sided cervicothoracic lymphatic malformation. At 13 weeks of age, the child underwent percutaneous intracystic sclerotherapy with a mixture of sodium tetradecyl sulphate and ethanol. Twenty-one weeks after initial treatment, ophthalmic examination showed complete resolution of the blepharoptosis and pupillary miosis. Percutaneous sclerotherapy not only effectively treated the space-occupying lymphatic malformation but also reversed the Horner syndrome that was presumably induced by neural tension (more likely) or compression.

  • tumor
  • benign
  • lesion
  • pediatrics

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Footnotes

  • Republished with permission from BMJ Case Reports Published 23 October 2017; doi: 10.1136/bcr-2017-013315

  • Contributors All authors contributed significantly and are in agreement with the article’s content.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.