Acute Horner syndrome due to thoracic epidural analgesia in a paediatric patient.
A 4-year-old boy with coarctation of the aorta underwent surgical aortic arch repair with general anaesthesia and thoracic epidural analgesia. In the immediate postoperative period, the child developed a unilateral Horner syndrome which appeared to be related to the epidural infusion rate. Management of this patient as well as alternate aetiologies of Horner syndrome are described. Horner syndrome is a rare complication of epidural catheters and is often unrecognized, especially in children.
Aronson
L A
LA
Department of Anaesthesiology, The University of North Carolina at Chapel Hill, USA.
Parker
G C
GC
Valley
R
R
Norfleet
E A
EA
D000208:Acute Disease; D015360:Analgesia, Epidural / Q000009:adverse effects*; D001013:Aorta, Thoracic / Q000601:surgery; D001017:Aortic Coarctation / Q000601:surgery; D002045:Bupivacaine; D002675:Child, Preschool; D006732:Horner Syndrome / Q000209:etiology*; D006801:Humans; D008297:Male; D011183:Postoperative Complications
D002045:Bupivacaine