Harlequin syndrome

Harlequin syndrome (HSD) is an autonomic disorder occurring at any age and characterized by unilateral flushing and sweating, involving the face and sometimes arm and chest, in condition of thermal, exercise or emotional stress without sympathetic ocular manifestations. However, tonic pupils, parasympathetic oculomotor lesion and pre- or postganglionic sudomotor sympathetic deficit can rarely occur.

Horner syndrome

An abnormality resulting from a lesion of the sympathetic nervous system characterized by a combination of unilateral ptosis, miosis, and often ipsilateral hypohidrosis and conjunctival injection.


Total: 5

                       


(per page)
PMID (PMCID)
28291413
 FEMALE Middle Aged
Harlequin sign concomitant with Horner syndrome after anterior cervical discectomy: a case of intrusion into the cervical sympathetic system.
Fringeli Y, Humm AM, Ansorge A, Maestretti G.
J Neurosurg Spine. 2017;26(6):684-687.
Like Horner syndrome, associating miosis, ptosis, and anhidrosis, Harlequin syndrome is caused by disruption of the cervical sympathetic pathways.
29137067
(5690760)
 MALE Child
Harlequin syndrome and Horner syndrome after neck schwannoma excision in a pediatric patient: A case report.
Lee DH, Seong JY, Yoon TM, Lee JK, Lim SC.
Medicine (Baltimore). 2017;96(45):e8548.
We report a case of harlequin syndrome associated with Horner syndrome in an 11-year boy who underwent excision of right neck schwannoma.
29137067
(5690760)
 MALE Child
Harlequin syndrome and Horner syndrome after neck schwannoma excision in a pediatric patient: A case report.
Lee DH, Seong JY, Yoon TM, Lee JK, Lim SC.
Medicine (Baltimore). 2017;96(45):e8548.
Harlequin syndrome and Horner syndrome after neck schwannoma excision in a pediatric patient: A case report.
26513674
 FEMALE Middle Aged
Harlequin Syndrome After Thoracic Paravertebral Block.
Nagasaka Y, Wasner G, Sharma B, Fleischmann K.
A A Case Rep. 2016;6(3):48-51.
We present a case of Harlequin syndrome without Horner syndrome in a patient with unilateral right-sided facial flushing that started shortly after a left-sided thoracic paravertebral nerve block for a mastectomy.
20971594
 FEMALE
An old lady with anterior chest pain and unilateral facial flushing.
Lin SH, Chen CI, Liu CC, Du MH, Lam C.
Am J Emerg Med. 2012;30(1):248.e1-4.
A chest computed tomography (CT) was conducted, under the suspicion of Harlequin syndrome in combination with Horner syndrome, to derive the diagnosis of a right lung apex tumor.