Unilateral suppression of brown fat on FDG PET/CT in Horner syndrome Journal Article


Authors: Ulaner, G. A.; Samstein, R.; Cahlon, O.; Weber, W. A.; Rimner, A.
Article Title: Unilateral suppression of brown fat on FDG PET/CT in Horner syndrome
Abstract: A 29-year-old woman underwent resection of a left anterior mediastinal thymoma and pleurectomy. Postsurgical 18FDG PET/CT scan demonstrated FDG avidity in the right neck and upper thoracic fat but relatively absent FDG-avid fat in the left neck and upper thorax. Bilateral FDG-avid fat was also apparent in the lower chest and upper abdomen. After surgery, the patient demonstrated Horner syndrome, with left-sided ptosis, miosis, and facial anhidrosis. It is hypothesized that left-sided sympathetic nerves were compromised during surgery, leading to Horner syndrome and denervation of ipsilateral brown fat. The unilateral FDG avidity should not be mistaken for malignancy. © 2016 Wolters Kluwer Health, Inc. All rights reserved.
Keywords: brown fat; fdg; pet/ct; horner's syndrome
Journal Title: Clinical Nuclear Medicine
Volume: 41
Issue: 10
ISSN: 0363-9762
Publisher: Lippincott Williams & Wilkins  
Date Published: 2016-10-01
Start Page: 797
End Page: 798
Language: English
DOI: 10.1097/rlu.0000000000001319
PROVIDER: scopus
PUBMED: 27454597
DOI/URL:
Notes: Article -- Export Date: 2 February 2017 -- Source: Scopus
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  1. Gary Ulaner
    146 Ulaner
  2. Oren Cahlon
    158 Cahlon
  3. Andreas Rimner
    524 Rimner
  4. Wolfgang Andreas Weber
    173 Weber