| Two cases of Horner syndrome after administration of an epidural test dose that did not recur with subsequent epidural activation. | |
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MedLine Citation:
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PMID: 19574872 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: We describe 2 cases of Horner syndrome after epidural test dose injections in thoracic surgery patients. The Horner syndrome was transient and did not recur with full epidural activation and infusion. CASE REPORT: Two patients undergoing thoracic surgery procedures received preoperative midthoracic epidural catheters for postoperative analgesia. Following the 3-mL 1.5% lidocaine test dose, a unilateral Horner syndrome was observed. No other signs and symptoms of high epidural blockade were seen, and the Horner syndrome subsequently resolved. After epidurogram confirmation of proper catheter position and at the conclusion of surgery, the epidural was activated with an appropriate bolus and infusion dose without recurrence of the Horner syndrome. CONCLUSIONS: Two cases of Horner syndrome presenting after administration of an epidural test dose are reported. This uncommon initial finding could not be reproduced with subsequent epidural activation, perhaps suggesting that initial conditions within the epidural space had been altered. Successful utilization of neuraxial regional analgesia was achieved with careful postoperative monitoring of the patients. |
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Authors:
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Nir Hoftman; Karina Chan |
Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Regional anesthesia and pain medicine Volume: 34 ISSN: 1532-8651 ISO Abbreviation: Reg Anesth Pain Med Publication Date: 2009 Jul-Aug |
Date Detail:
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Created Date: 2009-07-03 Completed Date: 2009-10-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9804508 Medline TA: Reg Anesth Pain Med Country: United States |
Other Details:
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Languages: eng Pagination: 372-4 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, David Geffen School of Medicine, UCLA, Ronald Reagan Medical Center, 757 Westwood Plaza, Mail Code 740330, Los Angeles, CA 90095-7403, USA. nhoftman@mednet.ucla.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anesthesia, Epidural / adverse effects* Anesthetics, Local / administration & dosage Funnel Chest / surgery Horner Syndrome / etiology* Humans Injections, Epidural Intraoperative Complications* Lidocaine / administration & dosage Lung Neoplasms / secondary, surgery Male Treatment Outcome Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local; 137-58-6/Lidocaine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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