Trigeminal nerve palsy and Horner's syndrome following epidural analgesia for labor: a subdural block?
Horner's syndrome is a rare complication of epidural analgesia for labor. Much more uncommon is trigeminal nerve palsy. Both complications may be attributed to a subdural localization of the catheter, as we demonstrated clinically by a repeat injection and patchy sympathetic block and with the typical image on epidurography.
De la Gala
F
F
Department of Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Reyes
A
A
Avellanal
M
M
Baticón
P
P
González-Zarco
L M
LM
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects* / Q000379:methods; D016362:Analgesia, Obstetrical / Q000009:adverse effects* / Q000379:methods; D018686:Anesthetics, Intravenous / Q000008:administration & dosage / Q000009:adverse effects; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects; D002045:Bupivacaine / Q000008:administration & dosage / Q000009:adverse effects; D002404:Catheterization / Q000009:adverse effects*; D003287:Contrast Media / Q000008:administration & dosage; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage / Q000009:adverse effects; D006732:Horner Syndrome / Q000139:chemically induced*; D006801:Humans; D007472:Iohexol; D048949:Labor Pain / Q000188:drug therapy*; D008012:Lidocaine / Q000008:administration & dosage / Q000009:adverse effects; D007744:Obstetric Labor Complications / Q000209:etiology; D011247:Pregnancy; D013115:Spinal Canal / Q000000981:diagnostic imaging; D013355:Subdural Space / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000379:methods; D020433:Trigeminal Nerve Diseases / Q000139:chemically induced*
D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D003287:Contrast Media; D007472:Iohexol; D008012:Lidocaine; D005283:Fentanyl; D002045:Bupivacaine