From the Department of Anaesthesiology and Intensive Care, Aalborg University Hospital, Aalborg, Denmark.
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
A A Pract. 2023 Feb 2;17(2):e01664. doi: 10.1213/XAA.0000000000001664. eCollection 2023 Feb 1.
Harlequin syndrome is a rare syndrome characterized by hemifacial flushing and altered facial sweating, with only a few case reports related to intercostal blockades. We present a case of Harlequin syndrome in a 65-year-old woman after intercostal blockade for video-assisted thoracoscopic lobectomy. One hour postoperatively, the patient became nauseated and presented with flushing of the right half of the face with a clear line of demarcation. Within 3 hours, the flushing disappeared. In this case report, we discuss Harlequin syndrome in relation to intercostal blockade and encourage clinicians to consider this syndrome in the differential diagnosis when encountering similar symptoms.
哈姆林氏综合征是一种罕见的综合征，其特征为半侧面部潮红和面部出汗改变，仅有少数与肋间阻滞相关的病例报告。我们报告了一例 65 岁女性在接受电视辅助胸腔镜肺叶切除术后行肋间阻滞时出现哈姆林氏综合征。术后 1 小时，患者出现恶心，并出现右半侧面部潮红，分界线清晰。3 小时内，潮红消失。在本病例报告中，我们讨论了与肋间阻滞相关的哈姆林氏综合征，并鼓励临床医生在遇到类似症状时将其纳入鉴别诊断。
