{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:10:05Z","timestamp":1756293005917,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,10,5]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>Horner\u2019s syndrome is a rare neurological condition seen in association with the disruption in the sympathetic nerve supply. Thyroid swelling is a common condition but rarely causes cervical sympathetic chain compression. We describe a case of a 54-year-old man who presented with Horner\u2019s syndrome secondary to a benign thyroid nodule with pressure effect on the sympathetic chain. An association between thyroid pathologies and Horner\u2019s syndrome has been mentioned previously, however, to our knowledge, this is the first case of Horner\u2019s syndrome being the initial presentation for an underlying benign thyroid swelling.<\/jats:p>","DOI":"10.1136\/bcr-2020-235313","type":"journal-article","created":{"date-parts":[[2020,12,12]],"date-time":"2020-12-12T09:45:14Z","timestamp":1607766314000},"page":"e235313","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Benign thyroid swelling presenting as Horner\u2019s syndrome"],"prefix":"10.1136","volume":"13","author":[{"given":"Sherin K","family":"Shaji","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Shrewsbury and Telford Hospital NHS Trust, Telford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacquline","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Shrewsbury and Telford Hospital NHS Trust, Telford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Churunal","family":"Hari","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Shrewsbury and Telford Hospital NHS Trust, Telford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,12,12]]},"reference":[{"key":"2025082703410509000_13.12.e235313.1","first-page":"35","article-title":"Horner syndrome: clinical perspectives","volume":"7","author":"Kanagalingam","year":"2015","journal-title":"Eye Brain"},{"key":"2025082703410509000_13.12.e235313.2","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1590\/S0004-27302013000600011","article-title":"Horner syndrome as a manifestation of thyroid carcinoma: a rare association","volume":"57","author":"Pereira","year":"2013","journal-title":"Arq Bras Endocrinol Metabol"},{"key":"2025082703410509000_13.12.e235313.3","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22366"},{"key":"2025082703410509000_13.12.e235313.4","first-page":"232","article-title":"Does nodule size predict compressive symptoms in patients with thyroid nodules?","volume":"3","author":"Eng","year":"2014","journal-title":"Gland Surg"},{"key":"2025082703410509000_13.12.e235313.5","first-page":"224","article-title":"Irreversible Horner's syndrome diagnosed by aproclonidine test due to benign thyroid nodule","volume":"29","author":"Coskun","year":"2013","journal-title":"Pak J Med Sci"},{"key":"2025082703410509000_13.12.e235313.6","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1159\/000049270","article-title":"Horner's syndrome and thyroid neoplasms","volume":"64","author":"Leuchter","year":"2002","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"key":"2025082703410509000_13.12.e235313.7","doi-asserted-by":"crossref","first-page":"104","DOI":"10.4274\/Tnd.39260","article-title":"Horner syndrome due to intrathoracic multinodular goiter (case report)","volume":"19","author":"Korkmaz","year":"2013","journal-title":"Turkish J Neurol"},{"key":"2025082703410509000_13.12.e235313.8","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(58)90252-6"},{"key":"2025082703410509000_13.12.e235313.9","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1111\/j.1445-1433.2004.03030.x","article-title":"Horner's syndrome in association with thyroid and parathyroid disease","volume":"74","author":"Harding","year":"2004","journal-title":"ANZ J Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-235313","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:41:12Z","timestamp":1756291272000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-235313"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":9,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12,12]]},"published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1136\/bcr-2020-235313"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-235313","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,12]]}}}