RANDY LEVIN, M.D.; STEVEN A. NEWMAN, M.D.; IVAN S. LOGIN, M.D.
Unilateral Horner's syndrome is seen with invasive thyroid disease due to cervical sympathetic nerve damage (1-3). Although goiter is often considered to cause Horner's syndrome, there is little documentation.
An 80-year-old woman was evaluated for bilateral ptosis. She had had a multinodular goiter since her teens, but with no symptoms of hyperthyroidism or hypothyroidism, or tracheal or esophageal compression. Her goiter was roughly 200 g, with a surface area of 6 X 7 cm left of midline and 5 X 4 cm to the right and was unchanged from measurements recorded 10 years earlier. She had bilateral ptosis. Her pupils
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LEVIN R, NEWMAN SA, LOGIN IS. Bilateral Horner's Syndrome Secondary to Multinodular Goiter. Ann Intern Med. 1986;105:550–551. doi: 10.7326/0003-4819-105-4-550
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Published: Ann Intern Med. 1986;105(4):550-551.
Endocrine and Metabolism, Neurology, Thyroid Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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