Review Coexisting harlequin and Horner syndromes after paediatric neck dissection: a circumstance report and an assessment on the literature.
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Responsive individuals could gain from repetitive stellate ganglion blockade or botulinum toxin injection.[twelve] Refractory instances can be addressed with surgical sympathectomy within the contralateral aspect.
Offered the idiopathic etiology and rarity with the situation, you will discover not numerous measures that may be targeted to forestall this syndrome.
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It results in hemifacial vasoconstriction and anhidrosis about the influenced aspect, manifesting given that the Harlequin facies. The facial discoloration may prolong in to the upper chest and arms if T4 fibers are concerned, and Horner syndrome manifests if T1 fibers are compromised.
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A pressure take a look at can reproduce the symptoms to objectivate the syndrome. Quantitative sudomotor axon reflex testing (QSART) and thermoregulatory sweat take a look at (TST) can be used to entry the sudomotor purpose and integrity on the sympathetic innervation if needed.
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