Homer's Syndrome and trigeminal nerve palsy after lumbar epidural analgesia for labor and delivery

被引:14
|
作者
Narouze, SN [1 ]
Basali, A [1 ]
Mandel, M [1 ]
Tetzlaff, JE [1 ]
机构
[1] Cleveland Clin Fdn, Dept Anesthesiol & Crit Care Med, Cleveland, OH 44195 USA
关键词
analgesia; epidural; anesthesia; obstetric; Horner's syndrome; trigeminal palsy;
D O I
10.1016/S0952-8180(02)00406-3
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
This 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 I 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. (C) 2002 by Elsevier Science Inc.
引用
收藏
页码:532 / 534
页数:3
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