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Lymphatic malformation with acquired Horner syndrome in an infant
  1. Birgit Spors1,
  2. Joerg Seemann2,
  3. Natalie Homer3,
  4. Aaron Fay3,4
  1. 1Department of Pediatric Radiology, Klinik für Strahlenheilkunde, Charite Hospital, Berlin, Germany
  2. 2Clinic for Radiology and Neurosurgery, Klinikum Barnim GmbH, Werner Forssmann Krankenhaus, Eberswalde, Brandenburg, Germany
  3. 3Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA
  4. 4Center 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}


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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  • 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.