Horner’s Syndrome Following Very Low Concentration Bupivacaine Infusion for Labor Epidural Analgesia

• Published in: Journal of clinical anesthesia Vol. 15; no. 3; pp. 217 - 219
• Main Authors: Chandrasekhar, Shobana, Peterfreund, Robert A
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2003; Elsevier Science; Elsevier Limited
• Subjects: Adult; Analgesia, Epidural - adverse effects; Analgesia, Obstetrical - adverse effects; Anesthesia; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Anesthetics, Local - administration & dosage; Anesthetics, Local - adverse effects; Biological and medical sciences; Blood pressure; Bupivacaine - administration & dosage; Bupivacaine - adverse effects; Childbirth & labor; Female; Horner Syndrome - etiology; Horner’s syndrome; Humans; labor epidural analgesia; Local anesthesia. Pain (treatment); local anesthetics; Medical sciences; Pain; Pregnancy; labor epidural analgesia; Horner’s syndrome; local anesthetics; Human; Nervous system diseases; Low dose; Labor; Local anesthetic; Case study; Analgesia; Eye disease; Regional anesthesia; Bupivacaine; Pain; Extradural administration; Diseases of the autonomic nervous system; Ophthalmoplegia; Complication; Female; Claude Bernard Horner syndrome; Organic amide; Delivery; Oculomotor syndrome; Anilide

Horner’s syndrome is a complication of epidural analgesia and anesthesia, encountered more commonly in pregnant women than in other patients. Previous reports described the appearance of Horner’s syndrome following epidural injection of concentrated local anesthetic solutions. We report unilateral H...