Abstract |
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.
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Authors | C L Burlacu, D J Buggy |
Journal | British journal of anaesthesia
(Br J Anaesth)
Vol. 95
Issue 6
Pg. 822-4
(Dec 2005)
ISSN: 0007-0912 [Print] England |
PMID | 16227336
(Publication Type: Case Reports, Journal Article)
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Topics |
- Anesthesia, General
(adverse effects)
- Erythema
(etiology)
- Facial Dermatoses
(etiology)
- Female
- Flushing
(etiology)
- Horner Syndrome
(etiology)
- Humans
- Mammaplasty
- Mastectomy
- Middle Aged
- Nerve Block
(adverse effects)
- Postoperative Complications
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