Key result
PICCs linked to delayed Horner's syndrome via central vein thrombosis injuring the sympathetic tract.
Why the study?
Horner's syndrome can occur as a delayed complication after peripherally inserted central catheter placement due to central vein thrombosis causing sympathetic tract injury.
Presentation of Horner's syndrome in a patient with central venous access should prompt investigation to rule out central vein thrombosis.
Horner's syndrome in PICC patients may signal central vein thrombosis; single case leaves open incidence and prevention needs.
We describe a delayed case of Horner's syndrome after the use of a peripherally inserted central line. Central vein thrombosis, a well-recognized complication of central venous access, led to temporary injury to the sympathetic tract in the neck. Presentation of Horner's syndrome with central venous access in place should be further investigated to rule out central vein thrombosis.
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David John Raymond Links (2006) studied this question. Peripherally inserted central catheters can lead to delayed Horner's syndrome due to central vein thrombosis causing temporary injury to the sympathetic tract in the neck.
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