title: Horner's Syndrome Secondary to Epidural Anaesthesia Following Posterior Instrumented Scoliosis Correction.
abstract: An 11-year-old girl underwent T4 to L1 posterior instrumented scoliosis correction for adolescent idiopathic scoliosis. Postoperative clinical examination revealed left-sided Horner's syndrome which was preceded by left-sided C8 paraesthesia. The Horner's syndrome resolved after 14 hours following weaning and removal of the epidural catheter. Horner's syndrome following posterior instrumented scoliosis correction associated to epidural use is extremely rare. Surgeons must be aware of the risks of epidural placement and the need for close monitoring of associated complications. Alternative aetiology producing a Horner's syndrome must always be considered because of its devastating long term sequela if missed.
authors.affiliation: Spinal Orthopaedic, Musgrove Park Hospital, Taunton & Somerset NHS Trust, Taunton, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Cowie
authors.affiliation: Medical Directorate, Bristol Royal Infirmary, Bristol, UK.
authors.forename: Lucinda
authors.initials: L
authors.lastname: Gunn
authors.affiliation: Spinal Orthopaedic, Musgrove Park Hospital, Taunton & Somerset NHS Trust, Taunton, UK.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Madhavan
keywords: Epidural; Horner syndrome; Scoliosis