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
LEVIN R, NEWMAN SA, LOGIN IS. Bilateral Horner's Syndrome Secondary to Multinodular Goiter. Ann Intern Med. ;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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