| Horner's syndrome during epidural anaesthesia for elective caesarean section. | |
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MedLine Citation:
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PMID: 7237209 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Twenty ml of three per cent chloroprocaine solution was injected into the lumbar epidural space of a parturient for anaesthesia for elective caesarean section. Ten minutes after injection of the anaesthetic, the patient developed Horner's syndrome on the left side. The anaesthetic level was C7 on the affected side. Thirty minutes after the bolus dose of chloroprocaine the signs disappeared, at which time the patient received a reinforcing dose of 10 ml of chloroprocaine three per cent. The Horner's complex reappeared in eight minutes and persisted for 20 minutes. While Horner's syndrome is not uncommon in women in labour receiving lumbar epidural anaesthesia, it is virtually unknown in patients who are not in labour. The mechanism for the appearance of the syndrome in this case is unclear. The most likely explanation is that only a small amount of local anaesthetic was necessary to produce the syndrome and the subsequent bolus of anaesthetic followed pathways opened by the original dose, since a much smaller amount of anaesthetic was necessary to reproduce the syndrome. |
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Authors:
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M N Skaredoff; S Datta |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Canadian Anaesthetists' Society journal Volume: 28 ISSN: 0008-2856 ISO Abbreviation: Can Anaesth Soc J Publication Date: 1981 Jan |
Date Detail:
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Created Date: 1981-08-10 Completed Date: 1981-08-10 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0371163 Medline TA: Can Anaesth Soc J Country: CANADA |
Other Details:
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Languages: eng Pagination: 82-5 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anesthesia, Epidural / adverse effects* Cesarean Section* Female Horner Syndrome / chemically induced* Humans Pregnancy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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