脊柱融合术和硬膜外镇痛后持续性霍纳综合征。一例报告。
Persistent Horner's syndrome after spinal fusion and epidural analgesia. A case report.
作者信息
Hered R W, Cummings R J, Helffrich R
机构信息
Division of Ophthalmology, Nemours Children's Clinic, Jacksonville, Florida, USA.
出版信息
Spine (Phila Pa 1976). 1998 Feb 1;23(3):387-90. doi: 10.1097/00007632-199802010-00021.
STUDY DESIGN
A case report of a clinical observation.
OBJECTIVES
To present the clinical findings of an unusual complication of spinal fusion and epidural analgesia.
SUMMARY OF BACKGROUND DATA
A 13-year-old girl developed Horner's syndrome after posterior thoracic spinal fusion and epidural analgesia.
METHODS
By clinical examination and pupillary pharmacologic testing, the diagnosis of Horner's syndrome was confirmed.
RESULTS
Examination and testing confirmed the presence of central or preganglionic Horner's syndrome. The specific cause of the Horner's syndrome was not determined. Horner's syndrome persisted, and the blepharoptosis was corrected surgically.
CONCLUSIONS
This is the first reported case of Horner's syndrome occurring after posterior spinal fusion and epidural analgesia.
研究设计
一份临床观察的病例报告。
目的
呈现脊柱融合术和硬膜外镇痛罕见并发症的临床发现。
背景资料总结
一名13岁女孩在胸椎后路脊柱融合术和硬膜外镇痛后出现霍纳综合征。
方法
通过临床检查和瞳孔药理学测试，确诊为霍纳综合征。
结果
检查和测试证实存在中枢性或节前性霍纳综合征。霍纳综合征的具体病因未明确。霍纳综合征持续存在，上睑下垂通过手术矫正。
结论
这是首例报道的脊柱后路融合术和硬膜外镇痛后发生霍纳综合征的病例。
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