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.
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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.