https://doi.org/10.4081/cdr.12.12638
A 70-year-old man with a drooping eyelid and distended chest veins
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Published: 28 June 2024
Horner’s Syndrome and central venous obstruction are usually seen in patients with superior sulcus tumour, and their presence, especially in elderly patients, is alarming. Benign causes of Horner’s Syndrome and central venous obstruction are rare but well-documented in the literature. A combination of both occurring due to clavicular trauma is extremely rare. We report a case of an elderly male with clavicular trauma who presented with Horner’s Syndrome and central venous obstruction. He was managed conservatively and had a complete resolution of symptoms. This case highlights that even “red flag” clinical signs may represent relatively innocuous etiology, and thorough evaluation is essential before reaching a diagnosis.
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Lin CY, Chang HW, Chang YH, et al. Isolated middle-third clavicle fracture causing Horner’s Syndrome: a case report and literature review. Front Surg. 2021;8:640900. DOI: https://doi.org/10.3389/fsurg.2021.640900
Khan Z, Bollu PC. Horner Syndrome. 2023. Available from: http://www.ncbi.nlm.nih.gov/books/NBK500000/.
Mawatari T, Watanabe A, Harada R, et al. Traumatic dislocated clavicle fracture with the oppression of superior vena cava. Asian Cardiovasc Thorac Ann. 2006;14:85. DOI: https://doi.org/10.1177/021849230601400122
Collin G, Jones RG, Willis AP. Central venous obstruction in the thorax. Clin Radiol. 2015;70:654-60. DOI: https://doi.org/10.1016/j.crad.2015.01.014
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