Yılmaz Canan, Karasu Derya, Özer Demet, Çağlayan Ümit, Karakaş Oya
Clinic of Anaesthesiology and Reanimation, Bursa Şevket Yılmaz Training and Research Hospital, Bursa, Turkey.
Turk J Anaesthesiol Reanim. 2015 Jun;43(3):196-8. doi: 10.5152/TJAR.2015.03360. Epub 2015 Feb 16.
Horner's syndrome is rarely observed in epidural anaesthesia; it is characterized by ptosis and enophthalmos on the affected side; miosis, anisocoria, and conjunctival hyperemia in the affected eye and anhydrosis, flushing on the affected side of the face. It is usually a complication spontaneously resolved without permanent neurological deficits. Intraoral anaesthesia, stellate, cervical and brachial plexus block, thoracic, lumbar and caudal epidural anaesthesia and intrapleural analgesia are the main causes associated with Horner's syndrome in anaesthesia. Among the other causes of Horner's syndrome are head and neck surgery, trauma and puncture of the internal jugular vein. We aimed to present a case with unilateral Horner's syndrome, which appeared in the morbidly obese parturient after lumbar epidural anaesthesia.
霍纳综合征在硬膜外麻醉中很少见；其特征为患侧上睑下垂和眼球内陷；患眼瞳孔缩小、瞳孔不等大及结膜充血，患侧面部无汗、潮红。它通常是一种可自发缓解且无永久性神经功能缺损的并发症。口腔内麻醉、星状神经节、颈丛和臂丛阻滞、胸段、腰段和骶管硬膜外麻醉以及胸膜内镇痛是麻醉中与霍纳综合征相关的主要原因。霍纳综合征的其他原因包括头颈手术、创伤和颈内静脉穿刺。我们旨在呈现一例在病态肥胖产妇腰段硬膜外麻醉后出现的单侧霍纳综合征病例。
