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Published on: May 26, 2023
[Transient Horner's syndrome after single shot paravertebral block]
Birzat Emre Gölboyu1, Mürsel Ekinci1, Pınar Karaca Baysal1
1Kars State Hospital, Department of Anesthesiology, Kars, Turquia.
Background:
Thoracic paravertebral block can provide analgesia for unilateral chest surgery and is associated with a low complication rate. Horner syndrome also referred to as oculosympathetic paresis, is a classic neurologic constellation of ipsilateral blepharoptosis, pupillary miosis, and facial anhidrosis resulting from disruption of the sympathetic pathway supplying the head, eye, and neck.
Case Report:
We present a patient with an ipsilateral transient Horner syndrome after ultrasound guided single shot of 15mL 0.25% levobupivacaine for thoracic paravertebral block at T5-6 level.
Conclusions:
It should be kept in mind that even a successful ultrasound guided single shot thoracic paravertebral block can be complicated with Horner syndrome due to unpredictable distribution of the local anesthetic.
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