Electro-acupuncture treatment for horner’s syndrome after thyroid surgery: a case report
Main Article Content
Abstract
Horner's syndrome is the result of an interruption of the sympathetic nerve pathway to the eye. This is uncommon after thyroidectomy, but it greatly affects the patient's vision and quality of life. Acupuncture is a potential procedure for this condition.
Objectives: To initially evaluate the effect of electroacupuncture in the treatment of Horner's syndrome after thyroid surgery.
Methods: Report a case of Horner's syndrome after bilateral thyroidectomy for cancer that did not respond to conventional medical treatment by electro acupuncture. Evaluation of treatment results based on the improvement of eyelid ptosis, upper eyelid movement amplitude, pupil size and sweating status.
Results: After 20 days of treatment, the degree of ptosis improved from grade II to grade I, upper eyelid motor amplitude increased from ≤ 4mm to >12mm, pupil diameter increased from 2mm to 5mm and left side started sweat secretion. Conclusions: Electroacupuncture showed efficacy in the treatment of Horner's syndrome after thyroid surgery.
Article Details
Keywords
Horner's syndrome, thyroid surgery, electro-acupuncture.
References
2. Min Y, Chen H, Wang X, Huang Y, Yin G. Case report and literature review: Horner syndrome subsequent to endoscopic thyroid surgery. BMC Surg. 2021;21(1):1-8.
3. Inoue M, Katsumi Y, Itoi M, et al. Direct current electrical stimulation of acupuncture needles for peripheral nerve regeneration: an exploratory case series. Acupuncture in Medicine. 2011;29(2):88-93.
4. Ban EJ, Yoo JY, Kim WW, et al. Surgical complications after robotic thyroidectomy for thyroid carcinoma: a single center experience with 3,000 patients. Surg Endosc. 2014;28(9):2555-2563.
5. Lee YS, Nam K-H, Chung WY, Chang H-S, Park CS. Postoperative complications of thyroid cancer in a single center experience. J Korean Med Sci. 2010; 25(4):541-545.
6. Harding JL, Sywak MS, Sidhu S, Delbridge LW. Horner’s syndrome in association with thyroid and parathyroid disease. ANZ J Surg. 2004;74(6):442-445.
7. González-Aguado R, Morales-Angulo C, Obeso-Agüera S, Longarela-Herrero Y, García- Zornoza R, Acle Cervera L. Horner’s syndrome after neck surgery. Acta Otorrinolaringol Esp. 2012;63(4):299-302.
8. Giannaccare G, Gizzi C, Fresina M. Horner Syndrome Following Thyroid Surgery: The Clinical and Pharmacological Presentations. J Ophthalmic Vis Res. 2016;11(4):442-444.
9. Kim MH. Effects of acupuncture on the symptoms and thermal imaging of idiopathic Horner’s syndrome: a case report. Acupunct Med. Published online July 28, 2021:09645284211025987.