Horner's syndrome after lumbar epidural analgesia during labor.
Horner's syndrome is rarely reported after epidural analgesia during labor. The use of Top-Up local anesthetic for controlling labor pain in the first stage of labor, or to dense the block in caesarean deliveries can result in this complication. We reported a cases of Horner's syndrome during epidural analgesia in labor in spite of not giving any Top-Up dose. The case was clinically evident and was successfully managed by stopping the epidural infusion, and reassuring the parturient as well as the family; until the disappearance of the signs and symptoms. The infusion was then restarted, delivery was uneventful and no consequent neurological or psychological problems were noticed after a one-month follow-up.
Al-Mustafa
Mahmoud M
MM
Department of Anesthesia and Intensive Care, Jordan University Hospital, University of Jordan, Amman-Jordan. mahmoud_juh@hotmail.com
Massad
Islam M
IM
Al-Ghanem
Subhi M
SM
Badran
Izdiad Z
IZ
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D005260:Female; D006732:Horner Syndrome / Q000209:etiology*; D006801:Humans; D008161:Lumbosacral Region; D011247:Pregnancy