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脊柱侧弯矫正术后硬膜外麻醉继发霍纳综合征:一例报告

Horner's Syndrome Secondary to Epidural Anesthesia After Scoliosis Correction: A Case Report.

作者信息

Atoot Ali, Paganessi Monica, Block Michael, Schlesinger Mark D

机构信息

Anesthesiology, Hackensack University Medical Center, Hackensack, USA.

出版信息

Cureus. 2021 Dec 1;13(12):e20071. doi: 10.7759/cureus.20071. eCollection 2021 Dec.

Abstract

Horner's syndrome is a clinical triad composed of ptosis, miosis, and facial anhidrosis. Overall, this complication is rare but well-documented in the obstetric population receiving labor epidural analgesia, which usually follows a relatively benign transient course. Less commonly, few cases of Horner's syndrome have been reported in the pediatric population following surgical correction of scoliosis with epidural placement. We present a rare case of a pediatric patient that developed Horner's syndrome secondary to epidural anesthesia following surgical correction of scoliosis.

摘要

霍纳综合征是一种由上睑下垂、瞳孔缩小和面部无汗组成的临床三联征。总体而言,这种并发症很少见,但在接受分娩硬膜外镇痛的产科人群中有充分记录,通常呈相对良性的短暂病程。较少见的是,小儿脊柱侧弯手术矫正并放置硬膜外导管后,小儿人群中也有少数霍纳综合征病例的报道。我们报告一例小儿患者在脊柱侧弯手术矫正后因硬膜外麻醉继发霍纳综合征的罕见病例。

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Horner's syndrome and weakness of upper limb after epidural anaesthesia for caesarean section.
Indian J Anaesth. 2014 Jul;58(4):464-6. doi: 10.4103/0019-5049.139012.
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Horner's syndrome after lumbar epidural analgesia during labor.
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Horner's syndrome: clinical and radiographic evaluation.霍纳综合征:临床与影像学评估
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Horner's syndrome following very low concentration bupivacaine infusion for labor epidural analgesia.
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Horner's syndrome following low-dose epidural infusion for labour: a cautionary tale.
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