Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF)
Harlequin syndrome (HS) is a rare dysautonomia of the sympathetic nervous system leading to asymmetric facial flushing and sweating. In the literature, only a few cases of HS after thoracoscopic tracheoesophageal fistula (TEF) repair are reported. We report on a newborn with TEF who developed HS aft...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2019-01-01
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| Series: | European Journal of Pediatric Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697667 |
| _version_ | 1818285993363505152 |
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| author | Richard Wagner Martin Lacher Andreas Merkenschlager Moritz Markel |
| author_facet | Richard Wagner Martin Lacher Andreas Merkenschlager Moritz Markel |
| author_sort | Richard Wagner |
| collection | DOAJ |
| description | Harlequin syndrome (HS) is a rare dysautonomia of the sympathetic nervous system leading to asymmetric facial flushing and sweating. In the literature, only a few cases of HS after thoracoscopic tracheoesophageal fistula (TEF) repair are reported. We report on a newborn with TEF who developed HS after thoracoscopic repair. On the first day of life, the girl (3,480 g, gestation age: 41 week) underwent thoracoscopic repair of a type C esophageal atresia (TEF; OR time 105 minute) without complications. The postoperative course was uneventful, the patient swallowed and thrived well and did not require esophageal dilatations. At 2 years of age, missing facial flushing, transpiration, and warming on the right side of her face during agitation were noticed. As no further intervention was required, the girl and her parents adapted well to the symptoms. Our report shows that the late onset of HS after the surgical procedure is unlikely a direct causal relation to the thoracoscopic operation but rather a shared embryological pathogenesis, like a neurocristopathy. |
| first_indexed | 2024-12-13T01:17:31Z |
| format | Article |
| id | doaj.art-4cfe4970bcfd4dcb80644e23cf675367 |
| institution | Directory Open Access Journal |
| issn | 2194-7619 2194-7627 |
| language | English |
| last_indexed | 2024-12-13T01:17:31Z |
| publishDate | 2019-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | European Journal of Pediatric Surgery Reports |
| spelling | doaj.art-4cfe4970bcfd4dcb80644e23cf6753672022-12-22T00:04:18ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272019-01-010701e63e6510.1055/s-0039-1697667Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF)Richard Wagner0Martin Lacher1Andreas Merkenschlager2Moritz Markel3Klinik und Poliklinik für Kinderchirurgie, Universitätsklinikum Leipzig, Leipzig, Sachsen, GermanyKlinik und Poliklinik für Kinderchirurgie, Universitätsklinikum Leipzig, Leipzig, Sachsen, GermanyKlinik für Neuropädiatrie, Universitätsklinikum Leipzig Klinik und Poliklinik für Kinder- und Jugendmedizin, Leipzig, Sachsen, GermanyKlinik und Poliklinik für Kinderchirurgie, Universitätsklinikum Leipzig, Leipzig, Sachsen, GermanyHarlequin syndrome (HS) is a rare dysautonomia of the sympathetic nervous system leading to asymmetric facial flushing and sweating. In the literature, only a few cases of HS after thoracoscopic tracheoesophageal fistula (TEF) repair are reported. We report on a newborn with TEF who developed HS after thoracoscopic repair. On the first day of life, the girl (3,480 g, gestation age: 41 week) underwent thoracoscopic repair of a type C esophageal atresia (TEF; OR time 105 minute) without complications. The postoperative course was uneventful, the patient swallowed and thrived well and did not require esophageal dilatations. At 2 years of age, missing facial flushing, transpiration, and warming on the right side of her face during agitation were noticed. As no further intervention was required, the girl and her parents adapted well to the symptoms. Our report shows that the late onset of HS after the surgical procedure is unlikely a direct causal relation to the thoracoscopic operation but rather a shared embryological pathogenesis, like a neurocristopathy.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697667harlequin syndromeesophageal atresiathoracoscopic repairneurocristopathy |
| spellingShingle | Richard Wagner Martin Lacher Andreas Merkenschlager Moritz Markel Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF) European Journal of Pediatric Surgery Reports harlequin syndrome esophageal atresia thoracoscopic repair neurocristopathy |
| title | Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF) |
| title_full | Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF) |
| title_fullStr | Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF) |
| title_full_unstemmed | Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF) |
| title_short | Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF) |
| title_sort | harlequin syndrome after thoracoscopic repair of a child with tracheoesophageal fistula tef |
| topic | harlequin syndrome esophageal atresia thoracoscopic repair neurocristopathy |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697667 |
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