Nagasaka Yasuko, Wasner Gunnar, Sharma Balram, Fleischmann Katharine
From the *Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; †Neurological Outpatient Center, Christian Albrechts University, Kiel, Germany; and ‡Anesthesiology, Lahey Hospital and Medical Center, Burlington, Massachusetts.
A A Case Rep. 2016 Feb 1;6(3):48-51. doi: 10.1213/XAA.0000000000000231.
Harlequin syndrome is characterized by the sudden onset of unilateral facial flushing and sweating, often preceded by exercise, excessive heat, or, rarely, regional anesthesia. Although the exact mechanism remains unclear, it is often referred to as transient or permanent interruption of the sympathetic nervous system. We present a case of Harlequin syndrome without Horner syndrome in a patient with unilateral right-sided facial flushing that started shortly after a left-sided thoracic paravertebral nerve block for a mastectomy. We discuss the interruption of the sympathetic and parasympathetic nervous system and the levels of spinal nerve block associated with a thoracic paravertebral nerve block.
霍纳综合征的特征是单侧面部突然出现潮红和出汗，通常在运动、过热后出现，或很少在区域麻醉后出现。虽然确切机制尚不清楚，但通常被认为是交感神经系统的短暂或永久性中断。我们报告一例在接受左侧胸段椎旁神经阻滞进行乳房切除术后不久出现右侧单侧面部潮红的患者，该患者无霍纳综合征。我们讨论了交感和副交感神经系统的中断以及与胸段椎旁神经阻滞相关的脊神经阻滞水平。
