Transient Horner's syndrome after single shot paravertebral block

Gölboyu, Birzat Emre; Ekinci, Mine; Baysal, Pınar Karaca; Yeksan, Ayşe Nur; Çelik, Erkan; Bilgi, Zeynep; Aksun, Murat

doi:10.1016/j.bjane.2016.08.006

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2023

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“…Horner's syndrome (HS) is a result of the interruption of sympathetic innervation to ocular structures and is characterized by ipsilateral miosis, facial anhidrosis, enophthalmos, conjunctival injection, and facial flushing [ 1 , 2 ]. HS has been reported in connection with various regional anesthetic techniques, such as those involving the brachial plexus, cervical plexus, paravertebral, and epidural blockade [ 2 , 3 ]. This syndrome is associated with the blockade of oculosympathetic fibers, which occurs at the point where preganglionic neurons exit the spinal cord and then ascend through the sympathetic chain to reach the superior cervical ganglion [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Horner's Syndrome Following Dural Puncture Epidural Analgesia for Labor

Mirkarimi,

Zargar,

Beig Zali

et al. 2023

Cureus

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Horner's syndrome has been identified as an adverse outcome associated with the administration of epidural analgesia during labor. This syndrome is attributed to the upward spread of the local anesthetic, which may extend toward the superior cervical sympathetic chain. This process could disrupt the sympathetic pathways supplying the facial and ocular areas. We describe a case of a 26-year-old primigravid female with transient isolated Horner's syndrome following dural puncture epidural analgesia during labor.

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