Acquired infantile Horner syndrome and spontaneous internal carotid artery dissection: A case report and review of literature

Pirouzian, Amir; Holz, Huck A.; Ip, Kenneth C.; Sudesh, Rattehalli

doi:10.1016/j.jaapos.2009.12.169

Cited by 11 publications

(1 citation statement)

References 10 publications

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“…Aside from epidural administration, HS is associated to stroke, face-neck trauma, tumor, vascular headache syndromes, trigeminal autonomic cephalalgias, intraoral anaesthesia, carotid dissection, brachial plexus block, cervical plexus block, while in pediatric patients it might appear as a result of forceps/vacuum delivery or traction, and neuroblastoma [21,22]. There is no HS case reported during the Valsalva manoeuvre during labor, although there is an increased risk of stroke from paradoxical emboli.…”

Section: Pathophysiology Of Hsmentioning

confidence: 99%

Horner’s syndrome and epidural anesthesia in labor and cesarean section

Vogiatzaki¹,

Tsikouras²,

Tsoleridis³

et al. 2017

Clin. Exp. Obstet. Gynecol.

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Horner's syndrome (HS) is based on dysfunction of symphathetic nervous system at the cervical canal. The signs of the syndrome occur on the same side as the lesion of the sympathetic trunk and include: a constricted pupil, a weak-droopy eyelid, apparent decreased sweating, and with or without inset eyeball. HS has been observed as a rare complication of epidural anaesthesia in obstetrics during labour or cesarean section. In parturients, it warrants further investigation as other serious causes must be excluded, such as pancoast tumours, thoracic aortic aneurysms, carotid dissection, neuroblastoma, and brainstem vascular malformation. Management involves early diagnosis of the underlying benign condition while treatment is based on appropriate conservative observation, as most often the syndrome resolves spontaneously. However in very rare cases immediate medical or surgical management is needed.

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Section: Pathophysiology Of Hsmentioning

confidence: 99%