Unusual case of persistent Horner's syndrome following epidural anaesthesia and caesarean section.
Indian J Ophthalmol
;
2011 Sept; 59(5): 389-391
Article
Dans Anglais
| IMSEAR
| ID: sea-136214
ABSTRACT
This is a rare case of persistent Horner's syndrome following epidural anesthesia and Caesarean section. A 33-year-old female presented with persistent ptosis and miosis following epidural anesthesia and Caesarian section several months prior. Magnetic resonance imaging (MRI)/magnetic resonance angiography (MRA) of head, neck, and chest were unremarkable. Medline search using terms Horner’s, epidural, spinal anesthesia, delivery, childbirth, Caesarian, and pregnancy identified 31 articles describing Horner's syndrome in obstetric epidural anesthesia, of which 11 were following Caesarean section. The increased incidence of Horner's syndrome in the setting of epidural anesthesia in pregnancy may be related to epidural venous engorgement and cephalic spread of the local anaesthetic, with disruption in the oculosympathetic pathway. It is important to include recent epidural anesthesia within the differential diagnosis of acute Horner's syndrome in a postpartum female. Rarely, the ptosis may be permanent and require surgical intervention.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Facteurs temps
/
Femelle
/
Humains
/
Grossesse
/
Césarienne
/
Syndrome de Claude Bernard-Horner
/
Études de suivi
/
Adulte
/
Techniques de diagnostic neurologique
/
Anesthésie péridurale
Type d'étude:
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
langue:
Anglais
Texte intégral:
Indian J Ophthalmol
Année:
2011
Type:
Article
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