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Middle East J Anaesthesiol · Jun 2010
Case ReportsHorner's syndrome after lumbar epidural analgesia during labor.
- Mahmoud M Al-Mustafa, Islam M Massad, Subhi M Al-Ghanem, and Izdiad Z Badran.
- Department of Anesthesia and Intensive Care, Jordan University Hospital, University of Jordan, Amman-Jordan. mahmoud_juh@hotmail.com
- Middle East J Anaesthesiol. 2010 Jun 1; 20 (5): 727-9.
AbstractHorner's syndrome is rarely reported after epidural analgesia during labor. The use of Top-Up local anesthetic for controlling labor pain in the first stage of labor, or to dense the block in caesarean deliveries can result in this complication. We reported a cases of Horner's syndrome during epidural analgesia in labor in spite of not giving any Top-Up dose. The case was clinically evident and was successfully managed by stopping the epidural infusion, and reassuring the parturient as well as the family; until the disappearance of the signs and symptoms. The infusion was then restarted, delivery was uneventful and no consequent neurological or psychological problems were noticed after a one-month follow-up.
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