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Volume: 36  Issue: 1   Year: 2023
  Horner Syndrome Following Combined Spinal-Epidural Anaesthesia [Ağrı]
Ağrı. 2016; 28(3): 155-157 | DOI: 10.5505/agri.2015.15010  

Horner Syndrome Following Combined Spinal-Epidural Anaesthesia

Ömer Karaca1, Sezen Kumaş Solak1, Serdar Demirgan2, Mehmet Bademci3
1Ordu State Hospital, Anesthesiology And Reanimation,ordu Turkey
2Düzce Atatürk State Hospital,düzceanesthesiology And Reanimation, Turkey
3Ordu State Hospital, Cardivascular Surgery, Turkey

Horner syndrome is rarely observed in epidural anaesthesia; it is characterized by ptosis enophthalmos miosis, anisocoria, and conjunctival hyperemia in the affected eye and anhydrosis and flushing on the affected side of the face. It is usually a complication spontaneously resolved without permanent neurological deficits. Intraoral anaesthesia, stellate, cervical and brachial plexus block, thoracic, lumbar and caudal epidural anaesthesia and intrapleural analgesia are the main causes associated with anaesthesia in Horner syndrome. Among the other causes of Horner syndrome are head and neck surgery, trauma and puncture of the internal jugular vein. We aimed to present a case with unilateral Horner syndrome, which appeared in the aortabifemoral bypass after lumbar spinal- epidural anaesthesia.

Keywords: combine spinal-epidural anaesthesia, Horner syndrome


Kombine Spinal-Epidural Anestezi Sonrası Horner Sendromu

Ömer Karaca1, Sezen Kumaş Solak1, Serdar Demirgan2, Mehmet Bademci3
1Ordu Devlet Hastanesi, Anesteziyoloji Ve Reanimasyon Ordu
2Düzce Atatürk Devlet Hastanesi,anesteziyoloji Ve Reanimasyon
3Ordu Devlet Hastanesi,kalp Damar Cerrahisi, Ordu

Horner sendromu epidural anestezide nadir olarak görülür. Pitozis, enoftalmi, miyozis, anizokori, konjunktival hiperemi, etkilenen yüz yarısında kızarma (flushing) ve anhidroz ile karakterizedir. Genellikle kalıcı nörolojik kusur bırakmadan düzelen bir komplikasyondur. İntraoral anestezi, stellat, servikal ve brakiyal pleksus bloğu, torakal, lomber, kaudal epidural anestezi yöntemleri, ayrıca intraplevral analjezi Horner sendromunun başlıca anestezi ile ilgili nedenleridir. Diğer nedenler arasında baş-boyun cerrahisi, travma ve internal juguler ven ponksiyonu yer alır. Bu olguda aortabifemoral bypass uygulanan lomber kombine spinal epidural anestezi sonrası ortaya çıkan tek taraflı Horner sendromunu sunmayı amaçladık.

Anahtar Kelimeler: Kombine spinal-epidural anaesthesia, Horner Sendromu


Ömer Karaca, Sezen Kumaş Solak, Serdar Demirgan, Mehmet Bademci. Horner Syndrome Following Combined Spinal-Epidural Anaesthesia. Ağrı. 2016; 28(3): 155-157

Corresponding Author: Sezen Kumaş Solak, Türkiye


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