• PDF / 141,131 Bytes
• 1 Pages / 595.245 x 841.846 pts (A4) Page_size
• 4 Downloads / 182 Views

DOWNLOAD

REPORT

---

1

S

Horner’s syndrome: case report A 33-year-old woman developed persistent, unilateral Horner’s syndrome after the administration of bupivacaine and fentanyl [dosages not stated]. The woman received an epidural block with bupivacaine 0.125% and fentanyl 2 mcg/mL during labour and underwent a caesarean section for delivery. Upon administration of the bupivacaine and fentanyl, she experienced immediate right-sided back pain. Approximately 12 hours after the administration and postoperatively, right-sided blepharoptosis was noticed [exact time to reaction onset unknown]. She presented with persistent blepharoptosis 9 weeks after her caesarean section. The patient’s cranial nerves and neurological exam were normal. She was diagnosed with Horner’s syndrome. Upon examination, she had right-sided blepharoptosis of 1mm, right-sided proptosis of 2mm and anisocoria. There was no pupillary response in her right-eye after the installation of cocaine 2%. Blepharoptosis remained unchanged 8.5 months later, and she declined surgery. Goel S, et al. Unusual case of persistent Horner’s syndrome following epidural anaesthesia and caesarean section. Indian Journal of Ophthalmology 59: 389-91, 803068433 No. 5, Sep-Oct 2011 - USA

0114-9954/10/1394-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved

Reactions 24 Mar 2012 No. 1394