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Horner Syndrome After Radiofrequency Ablation of a Benign Thyroid Nodule

Year: 2025

Type: article

Abstract: A 56-year-old woman presented for evaluation of a right thyroid nodule causing dysphagia. Thyroid function tests were normal. Ultrasound showed an isoechoic right thyroid nodule measuring 3.6 × 2.1 × 3.5 cm. After fine needle biopsy demonstrated benign pathology, ultrasound-guided radiofrequency ablation (RFA) of the nodule was performed. One day after the procedure, the patient developed a miotic, non-reactive right pupil, right upper eyelid and cheek swelling, right upper eyelid ptosis, and injection of the right eye. The patient was diagnosed with Horner syndrome (HS). RFA is a safe, minimally invasive procedure for the treatment of benign thyroid nodules. However, providers performing RFA should be aware of the possibility of HS in the immediate post-procedural period and beyond.

Source: Cureus

DOI: 10.7759/cureus.81227

Authors: Nikita Mokhashi, Joseph Tobias, Peter Angelos, Hassan Shah

Institution: University of Chicago

Language: English

Topic: Thyroid and Parathyroid Surgery

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4408848917

FWCI:

Cites: 17

Cited by:

Related to: 10