Advertisement

European Journal of Pediatrics

, Volume 133, Issue 1, pp 67–68 | Cite as

Horner's syndrome after treatment of tension pneumothorax with tube thoracostomy in a newborn infant

  • H. Rosegger
  • G. Fritsch
Case Reports

Abstract

A premature infant who developed respiratory distress syndrome required artifical ventilation. A right-sided tension pneumothorax at the age of 78 h was treated by insertion of a P.V.C. chest tube reaching deep into the right upper chest. At discharge on day 51 a Horner's syndrome of the right eye was noticed. Detailed examination at the age of one year revealed a typical peripheral preganglionar Horner's syndrome. Because other causes could be ruled out we assume that the lesion of the sympathetic nerve fibers was caused by the tip of the chest tube near the first thoracic intervertebral space.

Key words

Newborn infant Pneumothorax tube thoracostomy Horner's syndrome 

References

  1. Abramson, H.: Resuscitation of the newborn infant. 3rd edition. Saint Louis: Mosby Company 1973Google Scholar
  2. Durham, D. G.: Congenital hereditary Horner's syndrome. Arch. Ophth. (Chicago) 60, 939 (1958)Google Scholar
  3. Hall, R., Rhodes, P.: Pneumothorax and pneumomediastinum in infants with idiopathic respiratory distress syndrome receiving continuous positive airway pressure. Pediatrics 55, 493 (1975)Google Scholar
  4. Robinson, G. C., Dikrainian, D. A., Rosenborough, G. F.: Congenital Horner's syndrome and heterochromia iridum. Their association with congenital foregut and vertebral anomalies. Pediatrics 35, 103 (1965)Google Scholar
  5. Robinson, R. J.: Assessment of gestational age by neurological examination. Arch. Dis. Child. 41, 437 (1966)Google Scholar
  6. Swaiman, K. F., Wright, F. S.: The practice of pediatric neurology. Saint Louis: C. V. Mosby Company 1975Google Scholar
  7. Thibeault, D. W., Lachman, R. S., Laul, V., Kwong, M. S.: Pulmonary interstitial emphysema, pneumomediastinum and pneumothorax. Occurrence in the newborn infant. Amer. J. Dis. Child. 126, 611 (1973)Google Scholar
  8. Walsh, F. B.: Clinical neuro-ophthalmology. 2nd edition. London: Bailliere, Tidal & Cox 1957Google Scholar

Copyright information

© Springer-Verlag 1980

Authors and Affiliations

  • H. Rosegger
    • 1
  • G. Fritsch
    • 1
  1. 1.Universitäts-Kinderklinik GrazGrazAustria

Personalised recommendations