• Military medicine · Feb 2020

    Case Reports

    Horner's Syndrome with Unilateral Brachial Plexus Blockade Mimicking Cerebrovascular Accident Following Lumbar Combined Spinal Epidural Analgesia for Labor.

    • Richard J Bennett, Amy Wooten, Lee Babbel, and Bradley A Reel.
    • Department of Anesthesia, San Antonio Uniformed Service Health Education Consortium, 3551 Roger Brooke Drive, San Antonio, TX 78234.
    • Mil Med. 2020 Feb 12; 185 (1-2): e322-e323.

    AbstractHorner's Syndrome (HS) with brachial plexus involvement following lumbar epidural anesthesia may be a startling event for the patient and providers. We present a case of Horner's Syndrome and complete brachial plexus blockade following epidural bolus of lidocaine for labor analgesia that was initially misdiagnosed as a cerebrovascular accident. Use of the catheter was discontinued and the episode resolved with expectant management. This complication is otherwise benign and resolves without sequelae.© Association of Military Surgeons of the United States 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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