Open AccessDevelopment of Harlequin Syndrome following placement of thoracic epidural anesthesia in a pediatric patient undergoing Nuss procedure
Author(s) -
Lefevre Ashley,
Schnepper Gregory
Publication year - 2017
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.1097
Subject(s) - medicine , pallor , anesthesia , pectus excavatum , anhidrosis , surgery , nuss procedure , presentation (obstetrics) , local anesthetic
Key Clinical Message We report the development of Harlequin Syndrome following thoracic epidural placement in a pediatric patient. Unilateral facial flushing with contralateral pallor and anhidrosis is the clinical presentation. This syndrome is typically benign. When related to regional anesthesia, treatment involves reducing the local anesthetic infusion or stopping it altogether.