Acute Horner syndrome due to thoracic epidural analgesia in a paediatric patient

Summary A 4‐year‐old boy with coarctation of the aorta underwent surgical aortic arch repair with general anaesthesia and thoracic epidural analgesia. In the immediate postoperative period, the child developed a unilateral Horner syndrome which appeared to be related to the epidural infusion rate. M...

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Bibliographic Details
Published in:Pediatric anesthesia 2000-01, Vol.10 (1), p.89-91
Main Authors: Aronson, Lori A., Parker, Gwenevere C., Valley, Robert, Norfleet, Edward A.
Format: Article
Language:English
Subjects:
Acute Disease
anaesthesia
Analgesia, Epidural - adverse effects
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Aorta, Thoracic - surgery
Aortic Coarctation - surgery
Biological and medical sciences
Bupivacaine
Child, Preschool
epidural
Horner syndrome
Horner Syndrome - etiology
Humans
Local anesthesia. Pain (treatment)
Male
Medical sciences
Postoperative Complications
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Summary:Summary A 4‐year‐old boy with coarctation of the aorta underwent surgical aortic arch repair with general anaesthesia and thoracic epidural analgesia. In the immediate postoperative period, the child developed a unilateral Horner syndrome which appeared to be related to the epidural infusion rate. Management of this patient as well as alternate aetiologies of Horner syndrome are described. Horner syndrome is a rare complication of epidural catheters and is often unrecognized, especially in children.
ISSN:1155-5645
1460-9592
DOI:10.1046/j.1460-9592.2000.00445.x