Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean section
A healthy 21-year-old primigravida presented for elective cesarean section. At 45 min after intrathecal (IT) injection of bupivacaine, morphine and fentanyl she developed dysphagia, right sided facial droop, ptosis and ulnar nerve weakness. This constellation of signs and symptoms resolved 2 h later...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=2;spage=273;epage=275;aulast=Anson |
| _version_ | 1819096823541792768 |
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| author | Jonathan A Anson Patrick M McQuillan |
| author_facet | Jonathan A Anson Patrick M McQuillan |
| author_sort | Jonathan A Anson |
| collection | DOAJ |
| description | A healthy 21-year-old primigravida presented for elective cesarean section. At 45 min after intrathecal (IT) injection of bupivacaine, morphine and fentanyl she developed dysphagia, right sided facial droop, ptosis and ulnar nerve weakness. This constellation of signs and symptoms resolved 2 h later. Based on the time course and laterality of her symptoms, as well as the pharmacologic properties of spinal opioids, we believe her symptoms can be attributed to the IT administration of fentanyl. |
| first_indexed | 2024-12-22T00:05:19Z |
| format | Article |
| id | doaj.art-328f205feb314e8c9eded0d58cd2ced5 |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-22T00:05:19Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-328f205feb314e8c9eded0d58cd2ced52022-12-21T18:45:35ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852014-01-0130227327510.4103/0970-9185.130073Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean sectionJonathan A AnsonPatrick M McQuillanA healthy 21-year-old primigravida presented for elective cesarean section. At 45 min after intrathecal (IT) injection of bupivacaine, morphine and fentanyl she developed dysphagia, right sided facial droop, ptosis and ulnar nerve weakness. This constellation of signs and symptoms resolved 2 h later. Based on the time course and laterality of her symptoms, as well as the pharmacologic properties of spinal opioids, we believe her symptoms can be attributed to the IT administration of fentanyl.http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=2;spage=273;epage=275;aulast=AnsonFentanylHorner′s syndromeintrathecal opioids |
| spellingShingle | Jonathan A Anson Patrick M McQuillan Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean section Journal of Anaesthesiology Clinical Pharmacology Fentanyl Horner′s syndrome intrathecal opioids |
| title | Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean section |
| title_full | Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean section |
| title_fullStr | Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean section |
| title_full_unstemmed | Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean section |
| title_short | Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean section |
| title_sort | transient unilateral brachial plexopathy and partial horner s syndrome following spinal anesthesia for cesarean section |
| topic | Fentanyl Horner′s syndrome intrathecal opioids |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=2;spage=273;epage=275;aulast=Anson |
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