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Trigeminal nerve palsy and Horner's syndrome following epidural analgesia for labor: a subdural block?

AbstractHorner's syndrome is a rare complication of epidural analgesia for labor. Much more uncommon is trigeminal nerve palsy. Both complications may be attributed to a subdural localization of the catheter, as we demonstrated clinically by a repeat injection and patchy sympathetic block and with the typical image on epidurography.
AuthorsF De la Gala, A Reyes, M Avellanal, P Baticón, L M González-Zarco (Affiliation: Department of Anesthesiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.)
JournalInternational journal of obstetric anesthesia (Int J Obstet Anesth) Vol. 16 Issue 2 Pg. 180-2 (Apr 2007) ISSN: 0959-289X Netherlands
PMID17270429 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anesthetics, Intravenous
  • Anesthetics, Local
  • Contrast Media
  • Lidocaine
  • Bupivacaine
  • Fentanyl
  • Iohexol
Topics
  • Adult
  • Analgesia, Epidural (adverse effects, methods)
  • Analgesia, Obstetrical (adverse effects, methods)
  • Anesthetics, Intravenous (administration & dosage, adverse effects)
  • Anesthetics, Local (administration & dosage, adverse effects)
  • Bupivacaine (administration & dosage, adverse effects)
  • Catheterization (adverse effects)
  • Contrast Media (administration & dosage)
  • Female
  • Fentanyl (administration & dosage, adverse effects)
  • Horner Syndrome (chemically induced)
  • Humans
  • Iohexol (diagnostic use)
  • Labor Pain (drug therapy)
  • Lidocaine (administration & dosage, adverse effects)
  • Obstetric Labor Complications (etiology)
  • Pregnancy
  • Spinal Canal (radiography)
  • Subdural Space (radiography)
  • Tomography, X-Ray Computed (methods)
  • Trigeminal Nerve Diseases (chemically induced)