Costotransversectomy for Harlequin Syndrome

Sribnick and Boulis from Emory University School of Medicine reported a case of Harlequin syndrome who has been treated by costotransversectomy and sympathectomy.
Harlequin syndrome is a rare neurological syndrome including unilateral hyperhidrosis and erythema of the head and neck. The authors reports a 42-year-old female with a history of mastectomy for right-sided breast cancer subsequently had a left partial pneumonectomy for a metastasis. Postoperatively, she had onset of contralateral neck and facial flushing and sweating.
The surgical intervention consisted of a partial right T3 costotransversectomy with T2 sympathectomy. The authors reports that the patient's symptoms of Harlequin syndrome resolved postoperatively. The authors stated that "the diagnosis of Harlequin syndrome is relatively new, and the majority of the scientific literature is concerned with descriptive case presentations. We present a surgical technique for the treatment of Harlequin syndrome".

Source article: Sribnick EA, Boulis NM. Treatment of Harlequin syndrome by costotransversectomy and sympathectomy: case report. Neurosurgery. 2011 Jul;69(1):E257-9.


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