{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T15:06:06Z","timestamp":1774019166143,"version":"3.50.1"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We report a symptomatic retropharyngeal hematoma resulting in a transient Horner\u2019s syndrome in a 51-year-old female following an anterior cervical discectomy and fusion (ACDF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>A 51-year-old female underwent an ACDF at C5-6 for cervical spondylotic radiculopathy. On postoperative day 4, she developed a retropharyngeal hematoma and Horner\u2019s syndrome. A review of the preoperative magnetic resonance imaging and intraoperative findings in this patient uniquely indicated that her middle sympathetic ganglion and nerve ran inside the common carotid artery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Here, we report a 51-year-old-female who, following an ACDF, developed a postoperative retropharyngeal hematoma that resulted in a Horner\u2019s syndrome attributed to a neuroanatomic anomaly (i.e., middle sympathetic ganglion was of the \u201cmedial type\u201d).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/sni_165_2026","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T13:33:06Z","timestamp":1774013586000},"page":"163","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Horner\u2019s syndrome due to postoperative hematoma following anterior cervical discectomy and fusion"],"prefix":"10.25259","volume":"17","author":[{"given":"Takayasu","family":"Ando","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisaaki","family":"Uchikado","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Uchikado Neuro-Spine Clinic, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taku","family":"Ohkubo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takehiro","family":"Makizono","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gohsuke","family":"Hattori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motohiro","family":"Morioka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"issue":"1","key":"10.25259\/SNI_165_2026\/ref-1","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1177\/21925682251343839","article-title":"Retropharyngeal hematoma following anterior cervical discectomy and fusion: Identifying risk to prevent a life-threatening complication","volume":"16","author":"Avetisian","year":"2026","journal-title":"Global Spine J"},{"key":"10.25259\/SNI_165_2026\/ref-2","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1007\/s00586-008-0696-8","article-title":"Surgical anatomy of the cervical sympathetic trunk during anterolateral approach to cervical spine","volume":"17","author":"Civekek","year":"2008","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_165_2026\/ref-3","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.1097\/00007632-200007010-00002","article-title":"Vulnerability of the sympathetic trunc during the anterior approach to the lower cervical spine","volume":"25","author":"Ebraheim","year":"2000","journal-title":"Spine (PhilaPa 1976)"},{"key":"10.25259\/SNI_165_2026\/ref-4","doi-asserted-by":"crossref","first-page":"100","DOI":"10.25259\/SNI-191-2019","article-title":"A review of complication rates for anterior cervical discectomy and fusion (ACDF)","volume":"10","author":"Epstein","year":"2019","journal-title":"Surgi Neurol Int"},{"key":"10.25259\/SNI_165_2026\/ref-5","doi-asserted-by":"crossref","first-page":"e68","DOI":"10.1016\/j.wneu.2019.08.101","article-title":"Horner Syndrome after anterior cervical discectomy and fusion: Case series and systematic review","volume":"133","author":"Lubelski","year":"2020","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_165_2026\/ref-6","first-page":"9","article-title":"Characteristics of the middle cervical sympathetic ganglion; A systematic review and meta-analysis","volume":"21","author":"Park","year":"2018","journal-title":"Pain Physician"},{"key":"10.25259\/SNI_165_2026\/ref-7","doi-asserted-by":"crossref","first-page":"2264","DOI":"10.1016\/j.spinee.2024.08.004","article-title":"The incidence, clinical features, and risk factor for postoperative retropharyngeal hematoma and related dyspnea following anterior cervical discectomy and fusion: A single-center study of 10,615 patients","volume":"24","author":"Qu","year":"2024","journal-title":"Spine J"},{"key":"10.25259\/SNI_165_2026\/ref-8","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1097\/AJP.0000000000000184","article-title":"Ultrasound features of middle cervical sympathetic ganglion","volume":"31","author":"Shin","year":"2015","journal-title":"Clin J Pain"},{"key":"10.25259\/SNI_165_2026\/ref-9","doi-asserted-by":"crossref","first-page":"103S","DOI":"10.1177\/2192568216688184","article-title":"Rare complications of cervical spine surgery: Horner\u2019s syndrome","volume":"7","author":"Traynelis","year":"2017","journal-title":"Global Spine J"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/horners-syndrome-due-to-postoperative-hematoma-following-anterior-cervical-discectomy-and-fusion\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/horners-syndrome-due-to-postoperative-hematoma-following-anterior-cervical-discectomy-and-fusion\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T13:33:07Z","timestamp":1774013587000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/horners-syndrome-due-to-postoperative-hematoma-following-anterior-cervical-discectomy-and-fusion\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,20]]},"references-count":9,"alternative-id":["10.25259\/SNI_165_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_165_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,20]]},"article-number":"163"}}