Reversible chest tube horner syndrome

Michael Levy, David Newman-Toker

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


A 54-year-old woman who underwent chest tube placement after a lung biopsy was found on the first postoperative day to have ipsilateral ptosis and miosis, suggesting a Horner syndrome. A chest CT scan showed that the tip of the chest tube was apposed to the stellate ganglion. Repositioning of the chest tube later on the first postoperative day led to complete reversal of the Horner syndrome within 24 hours. We propose that the Horner syndrome arose as a result of pressure on the stellate ganglion, which interrupted neural conduction but did not sever the sympathetic pathway ("neurapraxia"). Whether prompt repositioning of the chest tube was critical in reversing the Horner syndrome is uncertain.

Original languageEnglish (US)
Pages (from-to)212-213
Number of pages2
JournalJournal of Neuro-Ophthalmology
Issue number3
StatePublished - Sep 2008

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology


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