Coexisting harlequin and Horner syndromes after high thoracic paravertebral anaesthesia.
نویسندگان
چکیده
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 or emotion mediated by an intact sympathetic pathway on the erythematous side, together with relative pallor of the pharmacologically blocked side.
منابع مشابه
Late Postoperative Harlequin Syndrome Coexisting With Horner Syndrome After Thoracic Epidural Anesthesia
The predominant features of Harlequin syndrome are unilateral facial flushing and sweating. Harlequin syndrome has been reported in different clinical conditions including brain stem infarction, superior mediastinal neurinoma, and internal jugular vein catheterization.1,2 Idiopathic and iatrogenic cases have been reported. The clinical features of Horner syndrome are ptosis, miosis, enophthalmo...
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ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 95 6 شماره
صفحات -
تاریخ انتشار 2005