Transient Horner's syndrome after single shot paravertebral block
Background: Thoracic paravertebral block can provide analgesia for unilateral chest surgery and is associated with a low complication rate. Horner syndrome also referred to as oculosympathetic paresis, is a classic neurologic constellation of ipsilateral blepharoptosis, pupillary miosis, and facial...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-09-01
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| Series: | Brazilian Journal of Anesthesiology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001416301634 |
| _version_ | 1797998636166021120 |
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| author | Birzat Emre Gölboyu Mürsel Ekinci Pınar Karaca Baysal Ayşe Nur Yeksan Erkan Cem Çelik Zeynep Bilgi Murat Aksun |
| author_facet | Birzat Emre Gölboyu Mürsel Ekinci Pınar Karaca Baysal Ayşe Nur Yeksan Erkan Cem Çelik Zeynep Bilgi Murat Aksun |
| author_sort | Birzat Emre Gölboyu |
| collection | DOAJ |
| description | Background: Thoracic paravertebral block can provide analgesia for unilateral chest surgery and is associated with a low complication rate. Horner syndrome also referred to as oculosympathetic paresis, is a classic neurologic constellation of ipsilateral blepharoptosis, pupillary miosis, and facial anhidrosis resulting from disruption of the sympathetic pathway supplying the head, eye, and neck. Case report: We present a patient with an ipsilateral transient Horner syndrome after ultrasound guided single shot of 15 mL 0.25% levobupivacaine for thoracic paravertebral block at T5–6 level. Conclusions: It should be kept in mind that even a successful ultrasound guided single shot thoracic paravertebral block can be complicated with Horner syndrome due to unpredictable distribution of the local anesthetic. Resumo: Justificativa: O bloqueio paravertebral torácico pode proporcionar analgesia para cirurgia torácica unilateral e está associado a um baixo índice de complicações. A síndrome de Horner (também denominada paralisia oculossimpática) é uma constelação neurológica clássica de blefaroptose ipsilateral, miose pupilar e anidrose facial devido a distúrbio da via simpática que fornece inervação para a cabeça, olhos e pescoço. Relato de caso: Apresentamos o caso de um paciente com síndrome de Horner transitória ipsilateral após a administração de injeção única de 15 mL de levobupivacaína a 0,25% para bloqueio paravertebral torácico ao nível de T5-6 guiado por ultrassom. Conclusões: Devemos considerar que mesmo um bloqueio paravertebral torácico bem-sucedido com a administração de injeção única e guiado por ultrassom pode ser complicado com a síndrome de Horner devido à distribuição imprevisível do anestésico local. Keywords: Horner's syndrome, Paravertebral block, Video assisted thoracic surgery, Palavras-chave: Síndrome de Horner, Bloqueio paravertebral, Cirurgia torácica videoassistida |
| first_indexed | 2024-04-11T10:51:50Z |
| format | Article |
| id | doaj.art-565548ea92594e25b5adf975713b1e25 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-04-11T10:51:50Z |
| publishDate | 2018-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-565548ea92594e25b5adf975713b1e252022-12-22T04:28:53ZengElsevierBrazilian Journal of Anesthesiology0104-00142018-09-01685518520Transient Horner's syndrome after single shot paravertebral blockBirzat Emre Gölboyu0Mürsel Ekinci1Pınar Karaca Baysal2Ayşe Nur Yeksan3Erkan Cem Çelik4Zeynep Bilgi5Murat Aksun6Kars State Hospital, Department of Anesthesiology, Kars, Turkey; Corresponding author.Kars State Hospital, Department of Anesthesiology, Kars, TurkeyKars State Hospital, Department of Anesthesiology, Kars, TurkeyKars State Hospital, Department of Anesthesiology, Kars, TurkeyPalandöken State Hospital, Department of Anesthesiology, Erzurum, TurkeyKars State Hospital, Department of Thoracic Surgery, Kars, TurkeyKatip Çelebi University, Faculty of Medicine, Department of Anesthesiology, Izmir, TurkeyBackground: Thoracic paravertebral block can provide analgesia for unilateral chest surgery and is associated with a low complication rate. Horner syndrome also referred to as oculosympathetic paresis, is a classic neurologic constellation of ipsilateral blepharoptosis, pupillary miosis, and facial anhidrosis resulting from disruption of the sympathetic pathway supplying the head, eye, and neck. Case report: We present a patient with an ipsilateral transient Horner syndrome after ultrasound guided single shot of 15 mL 0.25% levobupivacaine for thoracic paravertebral block at T5–6 level. Conclusions: It should be kept in mind that even a successful ultrasound guided single shot thoracic paravertebral block can be complicated with Horner syndrome due to unpredictable distribution of the local anesthetic. Resumo: Justificativa: O bloqueio paravertebral torácico pode proporcionar analgesia para cirurgia torácica unilateral e está associado a um baixo índice de complicações. A síndrome de Horner (também denominada paralisia oculossimpática) é uma constelação neurológica clássica de blefaroptose ipsilateral, miose pupilar e anidrose facial devido a distúrbio da via simpática que fornece inervação para a cabeça, olhos e pescoço. Relato de caso: Apresentamos o caso de um paciente com síndrome de Horner transitória ipsilateral após a administração de injeção única de 15 mL de levobupivacaína a 0,25% para bloqueio paravertebral torácico ao nível de T5-6 guiado por ultrassom. Conclusões: Devemos considerar que mesmo um bloqueio paravertebral torácico bem-sucedido com a administração de injeção única e guiado por ultrassom pode ser complicado com a síndrome de Horner devido à distribuição imprevisível do anestésico local. Keywords: Horner's syndrome, Paravertebral block, Video assisted thoracic surgery, Palavras-chave: Síndrome de Horner, Bloqueio paravertebral, Cirurgia torácica videoassistidahttp://www.sciencedirect.com/science/article/pii/S0104001416301634 |
| spellingShingle | Birzat Emre Gölboyu Mürsel Ekinci Pınar Karaca Baysal Ayşe Nur Yeksan Erkan Cem Çelik Zeynep Bilgi Murat Aksun Transient Horner's syndrome after single shot paravertebral block Brazilian Journal of Anesthesiology |
| title | Transient Horner's syndrome after single shot paravertebral block |
| title_full | Transient Horner's syndrome after single shot paravertebral block |
| title_fullStr | Transient Horner's syndrome after single shot paravertebral block |
| title_full_unstemmed | Transient Horner's syndrome after single shot paravertebral block |
| title_short | Transient Horner's syndrome after single shot paravertebral block |
| title_sort | transient horner s syndrome after single shot paravertebral block |
| url | http://www.sciencedirect.com/science/article/pii/S0104001416301634 |
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