Department of Ophthalmology, Bnai Zion Medical Center, Haifa, Israel.
Obstet Gynecol Surv. 2011 Feb;66(2):114-9. doi: 10.1097/OGX.0b013e31821d6e5c.
Epidural anesthesia is a widely used method for pain control during labor; nevertheless, it is not without risks. Horner syndrome is an uncommon related complication. We report a case of transient Horner syndrome following epidural anesthesia and a review of the literature. We discuss the pathophysiologic and contributing factors to this syndrome and its potential complications.
Obstetricians & gynecologists, family physicians.
After completion of this activity, physicians will be able to educate healthcare professionals working on the labor ward to be able to estimate the small incidence of Horner Syndrome following epidural anesthesia administered in labor. This will result in optimal management and will minimize the need for costly and inappropriate diagnostic investigations. The reader will also be able to compare the difference in the incidence of Horner syndrome following epidural anesthesia, as reported in the literature; appraise the clinical presentation, the pathophysiology, and the mechanism of Horner syndrome developing as a complication of regional anesthesia; and analyze the different theories proposed in the reported cases in the literature.
硬膜外麻醉是分娩过程中广泛使用的一种止痛方法，但并非没有风险。霍纳综合征是一种不常见的相关并发症。我们报告一例硬膜外麻醉后短暂性霍纳综合征，并对文献进行了回顾。我们讨论了该综合征的病理生理和促成因素及其潜在并发症。
妇产科医生、家庭医生。
完成本项活动后，医生将能够教育在产房工作的医疗保健专业人员，以便能够估计分娩时硬膜外麻醉后霍纳综合征的小发生率。这将导致最佳管理，并将最大限度地减少对昂贵且不适当的诊断性检查的需求。读者还将能够比较文献中报告的硬膜外麻醉后霍纳综合征发生率的差异；评估临床表现、病理生理学和作为区域麻醉并发症发生的霍纳综合征的发病机制；并分析文献中报告病例中提出的不同理论。
