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Horner's Syndrome and Upper Limb Paresthesia During Labor Epidural Analgesia: A Case Report

João Crisóstomo1, Carolina Dias1, Daniel Pedro1

  • 1Anesthesiology, Centro Hospitalar Universitário Lisboa Central, Lisbon, PRT.

Cureus
|January 24, 2022
PubMed

Horner's syndrome is a condition that results from sympathetic nervous system dysfunction. Labor epidural analgesia is known to be a rare cause of Horner's Syndrome. However, in the obstetric population, the incidence of Horner's Syndrome is higher than in the rest of the population as it is a consequence of high cephalad spread of local anesthetic (LA) probably enhanced by the anatmophysiologic changes of pregnancy. We present a case of unilateral Horner's syndrome as a complication of epidural analgesia with accompanying upper limb paresthesia and motor weakness, a rarely encountered symptom.

Keywords:
analgesiaepiduralhorner’s syndromehorner’s syndrome after epidurallabour epidural analgesia

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