| Horner's syndrome and brachial paresis as a complication of lumbar sympathetic block: a case report. | |
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MedLine Citation:
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PMID: 8729783 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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An unusual case of Horner's syndrome secondary to a sympathetic block in a patient with chronic adhesive arachnoiditis (CAA) is described. The patient, a 40-year-old white woman, presented with spastic paraplegia, hyperreflexia, bilateral Babinski sign, superficial and deep sensitive hypoaesthesia at the T4 level, in addition to bladder and rectal dysfunction since she was 32. At age of 38 she complained of excessive daily sweating below the T4 level, mostly at night. A 4mL 0.5% bupivacaine lumbar sympathetic block was performed. Within 15 min a right brachial paresis and an ipsilateral Horner's syndrome were noted. Speculatively, an abnormal cephalic spread of the anaesthesic due to a putative erratic space secondary to the CAA may justify the clinical picture even using a relatively small amount of anaesthesic (4 mL). |
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Authors:
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P A Maranhão-Filho; M A Martins; H F Lopes |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Arquivos de neuro-psiquiatria Volume: 53 ISSN: 0004-282X ISO Abbreviation: Arq Neuropsiquiatr Publication Date: 1995 Dec |
Date Detail:
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Created Date: 1996-11-19 Completed Date: 1996-11-19 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0125444 Medline TA: Arq Neuropsiquiatr Country: BRAZIL |
Other Details:
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Languages: eng Pagination: 831-3 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, National Cancer Institute, Rio de Janeiro, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Autonomic Nerve Block / adverse effects* Brachial Plexus* Female Horner Syndrome / etiology* Humans Paresis / etiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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