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Case Reports
Horner's syndrome and trigeminal nerve palsy after lumbar epidural analgesia for labor and delivery.
- Samer N Narouze, Ayman Basali, Morris Mandel, and John E Tetzlaff.
- Division of Anesthesiology and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
- J Clin Anesth. 2002 Nov 1;14(7):532-4.
AbstractThis report highlights transient Horner's syndrome and trigeminal nerve palsy following labor epidural analgesia. A 29-year-old primigravida had a lumbar epidural catheter placed for analgesia in labor. The analgesia was maintained by infusion of a dilute local anesthetic/opioid mixture and turned off after achieving complete cervical dilation. Approximately 1 hour after delivery she complained of heaviness in her left eyelid, and was noted to have left-sided ptosis and paresthesia within the distribution of the ophthalmic and maxillary divisions of the trigeminal nerve, which resolved over the next 2 hours. There were no other neurologic changes. Horner's syndrome and cranial nerve palsies can occur as a consequence of epidural analgesia for labor.Copyright 2002 by Elsevier Science Inc.
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