Development of Harlequin Syndrome following placement of thoracic epidural anesthesia in a pediatric patient undergoing Nuss procedure

Key Clinical Message We report the development of Harlequin Syndrome following thoracic epidural placement in a pediatric patient. Unilateral facial flushing with contralateral pallor and anhidrosis is the clinical presentation. This syndrome is typically benign. When related to regional anesthesia,...

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Bibliographic Details
Published in:Clinical case reports 2017-09, Vol.5 (9), p.1523-1525
Main Authors: Lefevre, Ashley, Schnepper, Gregory
Format: Article
Language:English
Subjects:
Anesthesia
Case Report
Case Reports
Harlequin Syndrome
Nuss procedure
pectus excavatum
Pediatrics
thoracic epidural
unilateral facial flushing
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Summary:Key Clinical Message We report the development of Harlequin Syndrome following thoracic epidural placement in a pediatric patient. Unilateral facial flushing with contralateral pallor and anhidrosis is the clinical presentation. This syndrome is typically benign. When related to regional anesthesia, treatment involves reducing the local anesthetic infusion or stopping it altogether. We report the development of Harlequin Syndrome following thoracic epidural placement in a pediatric patient. Unilateral facial flushing with contralateral pallor and anhidrosis is the clinical presentation. This syndrome is typically benign. When related to regional anesthesia, treatment involves reducing the local anesthetic infusion or stopping it altogether.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.1097