Horner syndrome after epidural analgesia for labor. Report on three cases
Keywords:
Epidural anesthesia, Horner syndrome, Cesarean section, Obstetrical anesthesia, Obstetric delivery.
Abstract
Epidural analgesia is assumed to be the technique of choice for the relief of pain in labor. Multiple adverse neurological effects have been reported, one of which is the so-called Horner syndrome (ptosis, myosis, anhidrosis). Its evolution is usually benign and does not require specific management, except clinical monitoring for the more than probable cephalic spread of local anesthetic. Most of the cases that exist in the literature are isolated; in our work we present a series of 3 clinical cases and review the pathogenesis and management in the obstetric patient.
References
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2. Castilla Peinado G, Garcia Saura PL, Parrila Ruiz E, Hijona Elosegui JJ, Contreras Rodriguez A, Torres Marti JM. Sindrome de Horner despues de analgesia epidural para el trabajo de parto. Clin Invest Gin Obst. 2009;36:223-5.
3. Gonzalez Cárdenasa VH, Munar Gonzálezb F, Gómez Barajasc WJ, Cardonad AM, Roseroe BR, Manriquef AJ. Remifentanilo vs. analgesia epidural para el manejo del dolor agudo relacionado con el trabajo de parto. Revisión sistemática y meta-análisis. Rev Colomb Anestesiol. 2014;42: 281-94.
4. Tympa A, Grigoriadis C, Petropoulos G, Hassiakos D. Horner syndrome following bolus low dose epidural analgesia for labor. J Anesth. 2013;27:799-800.
5. Wong SY, Lin CF, Lo LM, Peng TC, Chuah EC. Postpartum unilateral Horner's syndrome following lumbar epidural anesthesia after a cesarean delivery. Chang Gung Med J. 2004;27:624-8.
6. Biousse V, Guevara RA, Newman NJ. Transient Horner's syndrome after lumbar epidural anesthesia. Neurology. 1998;51:1473-5.
7. Molins Ballabriga G, Vacas Y, Jiménez F, Borras J, Mailan R. Horner syndrome and brachial plexus blockade after epidural anesthesia for obstetric labor and cesarean section. Rev Esp Anestesiol Reanim. 2011;58:54-6.
8. Avellanosa J, Vera J, Morillas P, Gredilla E, Gilsanz F. Síndrome de Horner y bloqueo del plexo braquial ipsilateral en un caso de analgesia epidural para el trabajo de parto. Rev Soc Esp Dolor. 2006;13:481-4.
9. Jadon A. Horner's syndrome and weakness of upper limb after epidural anaesthesia for caesarean section. Indian J Anaesth. 2014;58:464-6.
10. De la Gala F, Reyes A, Avellanel M, Baticon F, Gonzalez-Zarco LM. Trigeminal nerve palsy and Horner's syndrome following epidural analgesia for labor: a subdural block? Int J Obstet Anesth. 2008;17:92-3.
11. Chauhan G, Nayar P, Kashyap C. Ipsilateral Horner's syndrome associated with epidural anesthesia in emergency cesarean section. J Obstet Anaesth Crit Care. 2012;2:112-3.
12. Al-Mustafa MM, Massad IM, Al-Ghanem SM, Badran IZ. Horner's syndrome after lumbar epidural analgesia during labor. Middle East J Anesthesiol. 2010;20:727-9.
13. Lynch JH, Keneally RJ, Hustead TR. Horner's syndrome and trigeminal nerve palsy following epidural analgesia for labor. J Am Board Fam Med. 2006;19:521-3.
14. Vidal M, Calderón E, Pernia A, Martínez J, Torres LM. Diagnóstico diferencial del síndrome de Horner en analgesia epidural obstétrica.¿Cuándo preocuparse? Rev Esp Anestesiol Reanim. 2005;52:57-8.
15. Rabinovich A, Abedelhady R, Mazor M, Piura B, Margolin E. Horner's syndrome following epidural analgesia during labor: report of six cases. Eur J Obstet Gynecol Reprod Biol. 2010;149:229–30.
2. Castilla Peinado G, Garcia Saura PL, Parrila Ruiz E, Hijona Elosegui JJ, Contreras Rodriguez A, Torres Marti JM. Sindrome de Horner despues de analgesia epidural para el trabajo de parto. Clin Invest Gin Obst. 2009;36:223-5.
3. Gonzalez Cárdenasa VH, Munar Gonzálezb F, Gómez Barajasc WJ, Cardonad AM, Roseroe BR, Manriquef AJ. Remifentanilo vs. analgesia epidural para el manejo del dolor agudo relacionado con el trabajo de parto. Revisión sistemática y meta-análisis. Rev Colomb Anestesiol. 2014;42: 281-94.
4. Tympa A, Grigoriadis C, Petropoulos G, Hassiakos D. Horner syndrome following bolus low dose epidural analgesia for labor. J Anesth. 2013;27:799-800.
5. Wong SY, Lin CF, Lo LM, Peng TC, Chuah EC. Postpartum unilateral Horner's syndrome following lumbar epidural anesthesia after a cesarean delivery. Chang Gung Med J. 2004;27:624-8.
6. Biousse V, Guevara RA, Newman NJ. Transient Horner's syndrome after lumbar epidural anesthesia. Neurology. 1998;51:1473-5.
7. Molins Ballabriga G, Vacas Y, Jiménez F, Borras J, Mailan R. Horner syndrome and brachial plexus blockade after epidural anesthesia for obstetric labor and cesarean section. Rev Esp Anestesiol Reanim. 2011;58:54-6.
8. Avellanosa J, Vera J, Morillas P, Gredilla E, Gilsanz F. Síndrome de Horner y bloqueo del plexo braquial ipsilateral en un caso de analgesia epidural para el trabajo de parto. Rev Soc Esp Dolor. 2006;13:481-4.
9. Jadon A. Horner's syndrome and weakness of upper limb after epidural anaesthesia for caesarean section. Indian J Anaesth. 2014;58:464-6.
10. De la Gala F, Reyes A, Avellanel M, Baticon F, Gonzalez-Zarco LM. Trigeminal nerve palsy and Horner's syndrome following epidural analgesia for labor: a subdural block? Int J Obstet Anesth. 2008;17:92-3.
11. Chauhan G, Nayar P, Kashyap C. Ipsilateral Horner's syndrome associated with epidural anesthesia in emergency cesarean section. J Obstet Anaesth Crit Care. 2012;2:112-3.
12. Al-Mustafa MM, Massad IM, Al-Ghanem SM, Badran IZ. Horner's syndrome after lumbar epidural analgesia during labor. Middle East J Anesthesiol. 2010;20:727-9.
13. Lynch JH, Keneally RJ, Hustead TR. Horner's syndrome and trigeminal nerve palsy following epidural analgesia for labor. J Am Board Fam Med. 2006;19:521-3.
14. Vidal M, Calderón E, Pernia A, Martínez J, Torres LM. Diagnóstico diferencial del síndrome de Horner en analgesia epidural obstétrica.¿Cuándo preocuparse? Rev Esp Anestesiol Reanim. 2005;52:57-8.
15. Rabinovich A, Abedelhady R, Mazor M, Piura B, Margolin E. Horner's syndrome following epidural analgesia during labor: report of six cases. Eur J Obstet Gynecol Reprod Biol. 2010;149:229–30.
How to Cite
1.
Rodríguez-Sánchez E, Vadillo JM, Herrera-Calo P, Marenco de la Fuente ML. Horner syndrome after epidural analgesia for labor. Report on three cases. Colomb. J. Anesthesiol. [Internet]. 2016 Apr. 1 [cited 2024 Apr. 20];44(2):170–173. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/481
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Published
2016-04-01
How to Cite
1.
Rodríguez-Sánchez E, Vadillo JM, Herrera-Calo P, Marenco de la Fuente ML. Horner syndrome after epidural analgesia for labor. Report on three cases. Colomb. J. Anesthesiol. [Internet]. 2016 Apr. 1 [cited 2024 Apr. 20];44(2):170–173. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/481
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Section
Case Report / Case Series
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