Coexisting Harlequin and Horner's syndromes

Coexisting Harlequin and Horner's syndromes.

groups were equivalent for age, gender, underlying diagnosis, operative procedure and amount of bolus fluid received (Table 1). The main results are shown in Table 2. We conclude that the change in postoperative fluid regimen from dextrose 3% and sodium chloride 0.3% at two-thirds maintenance rate to dextrose 5% and Hartmann’s at full maintenance rate reduced the proportion of patients with pos...

Coexisting harlequin and Horner syndromes after high thoracic paravertebral anaesthesia.

A patient undergoing left mastectomy and immediate latissimus dorsi breast reconstruction under combined paravertebral block and general anaesthesia developed transient, well-demarcated, right-sided hemifacial erythema and sweating, and left-sided Horner syndrome postoperatively. This "harlequin" appearance occurs because of a normal or excessive vasodilatory, thermoregulatory response to heat ...

Coexisting and modulating factors, and related syndromes

Harlequin syndrome: a mask of rare dysautonomic syndromes.

Harlequin syndrome (HS) is a rare disorder of the sympathetic nervous system which presents with unilateral decreased sweating and flushing of the face, neck, and chest in response to heat, exercise, or emotional factors. The contralateral side displays a compensatory overreaction to provide normal heat regulation of the face as a whole. In the literature, most of the cases are primary in natur...

Photo vignette Harlequin syndrome: a mask of rare dysautonomic syndromes

Harlequin syndrome (HS) is a rare disorder of the sympathetic nervous system which presents with unilateral decreased sweating and flushing of the face, neck, and chest in response to heat, exercise, or emotional factors. The contralateral side displays a compensatory overreaction to provide normal heat regulation of the face as a whole. In the literature, most of the cases are primary in natur...