Harlequin Syndrome in Acute Thalamic Hemorrhage

J Stroke Cerebrovasc Dis. 2019 Sep;28(9):e127-e128. doi: 10.1016/j.jstrokecerebrovasdis.2019.06.037. Epub 2019 Jul 11.

Abstract

Harlequin syndrome is a disorder of the autonomic nervous system. It clinically presents as a distinct line of hemifacial sympathetic denervation. We describe a case of Harlequin syndrome with co-existing central first-order Horner syndrome in the setting of a large thalamic hemorrhage with intraventricular extension.

Keywords: Autonomic nervous system; Harlequin syndrome; Horner syndrome; Intracerebral hemorrhage.

Publication types

  • Case Reports

MeSH terms

  • Autonomic Nervous System Diseases / diagnosis
  • Autonomic Nervous System Diseases / etiology*
  • Autonomic Nervous System Diseases / physiopathology
  • Female
  • Flushing / diagnosis
  • Flushing / etiology*
  • Flushing / physiopathology
  • Horner Syndrome / diagnosis
  • Horner Syndrome / etiology*
  • Horner Syndrome / physiopathology
  • Humans
  • Hypohidrosis / diagnosis
  • Hypohidrosis / etiology*
  • Hypohidrosis / physiopathology
  • Intracranial Hemorrhages / complications*
  • Intracranial Hemorrhages / diagnosis
  • Intracranial Hemorrhages / physiopathology
  • Middle Aged
  • Thalamus / blood supply*

Supplementary concepts

  • Harlequin syndrome