[Horner syndrome following combined spinal-epidural anesthesia].
Horner syndrome is rarely observed in connection with epidural anesthesia. It is characterized by ptosis, enophthalmos, miosis, anisocoria, and conjunctival hyperemia in the affected eye, as well as anhydrosis and flushing on the affected side of the face. It is usually a complication spontaneously resolved without permanent neurological deficits. Intraoral anesthesia; stellate ganglion, cervical or brachial plexus blocks; thoracic, lumbar or caudal epidural anesthesia, and intrapleural analgesia are the main causes for Horner syndrome related to anesthesia. Among other causes of Horner syndrome are head and neck surgery, trauma, and puncture of internal jugular vein. The present case of unilateral Horner syndrome appeared in the aortobifemoral bypass after lumbar spinal- epidural anesthesia.
Department of Anesthesiology and Reanimation, Ordu State Hospital, Ordu, Turkey.
Ömer
Ö
Karaca
Department of Anesthesiology and Reanimation, Ordu State Hospital, Ordu, Turkey. bogazici28@hotmail.com.
Sezen
S
Kumaş Solak
Department of Anesthesiology and Reanimation, Düzce Atatürk State Hospital, Düzce, Turkey.
Serdar
S
Demirgan
Department of Cardivascular Surgery, Ordu State Hospital, Ordu, Turkey.
Mehmet
M
Bademci
D000368:Aged; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006732:Horner Syndrome / Q000139:chemically induced / Q000175:diagnosis*; D006801:Humans; D011183:Postoperative Complications / Q000139:chemically induced / Q000175:diagnosis*