Barghout Amr, Rashwan Ahmed
Anesthesia, Medway NHS Foundation Trust, Kent, GBR.
Cureus. 2024 Dec 18;16(12):e75931. doi: 10.7759/cureus.75931. eCollection 2024 Dec.
Horner's syndrome arises from a disruption in the sympathetic nervous system. Although it is an uncommon complication of labor epidural analgesia, its occurrence is significantly more frequent among pregnant women. The incidence of Horner's syndrome after epidural analgesia for labor is 0.4%. This heightened frequency may be attributed to the extensive upward spread of local anesthetic (LA), which is possibly amplified by the anatomical and physiological changes during pregnancy. Here, we describe a case of unilateral Horner's syndrome following epidural analgesia, which was also associated with unilateral upper limb paresthesia.
霍纳综合征源于交感神经系统的紊乱。尽管它是分娩硬膜外镇痛的一种罕见并发症，但其在孕妇中的发生率显著更高。分娩硬膜外镇痛后霍纳综合征的发生率为0.4%。这种较高的发生率可能归因于局部麻醉药（LA）广泛向上扩散，而孕期的解剖和生理变化可能会加剧这种扩散。在此，我们描述一例硬膜外镇痛后单侧霍纳综合征的病例，该病例还伴有单侧上肢感觉异常。
