{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:32Z","timestamp":1756425752886,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,10,20]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Here we report a case of a term newborn presenting with left palpebral ptosis, anisocoria and heterochromia as well as cleft palate and heart murmur. Congenital Horner syndrome was suspected and a thoracoabdominal CT scan was performed to rule out neuroblastoma. This revealed an anomalous drainage of right pulmonary veins to a collector that drains to the inferior vena cava, leading to the diagnosis of Scimitar syndrome. Echocardiogram showed an ostium secundum atrial septal defect, enlarged right chambers and a dilated coronary sinus due to a persistent left superior vena cava. The combination of Horner and Scimitar syndrome has never been described before. This case should encourage clinicians to use a multidisciplinary approach in order to guarantee an adequate diagnosis and management.<\/jats:p>","DOI":"10.1136\/bcr-2020-238018","type":"journal-article","created":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T15:46:37Z","timestamp":1606751197000},"page":"e238018","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Congenital Horner and Scimitar syndrome in a newborn: a previously unreported combination"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6561-2153","authenticated-orcid":false,"given":"Joana","family":"Carvalho","sequence":"first","affiliation":[{"name":"Paediatrics, Unidade Local de Saude de Matosinhos EPE, Senhora da Hora, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"Maia","sequence":"additional","affiliation":[{"name":"Paediatrics, Unidade Local de Saude de Matosinhos EPE, Senhora da Hora, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1gata","family":"Mota","sequence":"additional","affiliation":[{"name":"Ophthalmology, Unidade Local de Saude de Matosinhos EPE, Senhora da Hora, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Martins","sequence":"additional","affiliation":[{"name":"Paediatrics, Unidade Local de Saude de Matosinhos EPE, Senhora da Hora, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,11,30]]},"reference":[{"key":"2025082723381463000_13.11.e238018.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2006.01.004"},{"key":"2025082723381463000_13.11.e238018.2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-8531(98)90008-8"},{"key":"2025082723381463000_13.11.e238018.3","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2010.6"},{"key":"2025082723381463000_13.11.e238018.4","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2010.6"},{"key":"2025082723381463000_13.11.e238018.5","doi-asserted-by":"publisher","DOI":"10.1007\/s11910-007-0062-y"},{"key":"2025082723381463000_13.11.e238018.6","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1093\/eurheartj\/ehx526","article-title":"The natural history and surgical outcome of patients with scimitar syndrome: a multi-centre European study","volume":"39","author":"Vida","year":"2018","journal-title":"Eur Heart J"},{"key":"2025082723381463000_13.11.e238018.7","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1053\/j.pcsu.2006.02.011","article-title":"Scimitar syndrome","volume":"9","author":"Gudjonsson","year":"2006","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2025082723381463000_13.11.e238018.8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12887-019-1643-z","article-title":"Imperforate anus associated with anomalous pulmonary venous return in scimitar syndrome. Case report from a tertiary hospital in Ethiopia","volume":"19","author":"Aklilu","year":"2019","journal-title":"BMC Pediatr"},{"key":"2025082723381463000_13.11.e238018.9","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1055\/s-0036-1584085","article-title":"Horner syndrome in children: a clinical condition with serious underlying disease","volume":"47","author":"Barrea","year":"2016","journal-title":"Neuropediatrics"},{"key":"2025082723381463000_13.11.e238018.10","doi-asserted-by":"crossref","first-page":"e38","DOI":"10.1097\/IOP.0000000000001001","article-title":"Acquired intermittent pediatric Horner syndrome due to neuroblastoma","volume":"34","author":"Cohen","year":"2018","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"2025082723381463000_13.11.e238018.11","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1007\/s00247-015-3341-9","article-title":"Neuroimaging experience in pediatric Horner syndrome","volume":"45","author":"Kadom","year":"2015","journal-title":"Pediatr Radiol"},{"key":"2025082723381463000_13.11.e238018.12","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.jcjo.2014.12.007","article-title":"Evaluation and neuroimaging of the Horner syndrome","volume":"50","author":"Chen","year":"2015","journal-title":"Can J Ophthalmol"},{"key":"2025082723381463000_13.11.e238018.13","first-page":"440","article-title":"Scimitar syndrome with partial left pulmonary artery sling in a neonate","volume":"34","author":"Chao","year":"2018","journal-title":"Acta Cardiol Sin"},{"key":"2025082723381463000_13.11.e238018.14","first-page":"121","article-title":"A case series of five infants with scimitar syndrome","volume":"3","author":"Mordue","year":"2003","journal-title":"Adv Neonatal Care"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-238018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:38:24Z","timestamp":1756363104000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-238018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":14,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11,30]]},"published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1136\/bcr-2020-238018"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-238018","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,11]]}}}