Open AccessHorner Syndrome Following Combined Spinal-Epidural Anaesthesia
Author(s) -
Ömer Karaca,
Kumaş Solak S,
Serdar Demirgan,
Mehmet Şenel Bademci
Publication year - 2016
Publication title -
ağrı
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 19
eISSN - 2458-9446
pISSN - 1300-0012
DOI - 10.5505/agri.2015.15010
Subject(s) - medicine , horner syndrome , miosis , anesthesia , ptosis , anisocoria , surgery , complication , enophthalmos , lumbar , cervical plexus , ganglionectomy , sympathectomy , pupil , diplopia , neuroscience , biology , alternative medicine , pathology
Horner syndrome is rarely observed in connection with epidural anesthesia. It is characterized by ptosis, enophthalmos, miosis, anisocoria, and conjunctival hyperemia in the affected eye, as well as anhydrosis and flushing on the affected side of the face. It is usually a complication spontaneously resolved without permanent neurological deficits. Intraoral anesthesia; stellate ganglion, cervical or brachial plexus blocks; thoracic, lumbar or caudal epidural anesthesia, and intrapleural analgesia are the main causes for Horner syndrome related to anesthesia. Among other causes of Horner syndrome are head and neck surgery, trauma, and puncture of internal jugular vein. The present case of unilateral Horner syndrome appeared in the aortobifemoral bypass after lumbar spinal- epidural anesthesia.