Horner's Syndrome after Superficial Cervical Plexus Block.

Abstract

Ultrasound-guided nerve blocks are becoming more essential for the management of acute pain in the emergency department (ED). With increased block frequency comes unexpected complications that require prompt recognition and treatment. The superficial cervical plexus block (SCPB) has been recently described as a method for ED management of clavicle fracture pain. Horner's syndrome (HS) is a rare and self-limiting complication of regional anesthesia in neck region such as brachial and cervical plexus blocks. Herein we describe the first reported case of a HS after an ultrasound-guided SCPB performed in the ED and discuss the complex anatomy of the neck that contributes to the occurrence of this complication.

• Authors: Stefan Flores, Christine Riguzzi, Andrew A Herring, Arun Nagdev
• Journal: The western journal of emergency medicine (West J Emerg Med) Vol. 16 Issue 3 Pg. 428-31 (May 2015) ISSN: 1936-9018 [Electronic] United States
• PMID: 25987922 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anesthetics, Local

Topics

• Adult
• Anesthetics, Local (administration & dosage, adverse effects)
• Brachial Plexus (diagnostic imaging, drug effects)
• Cervical Plexus Block (adverse effects, methods)
• Emergency Service, Hospital
• Horner Syndrome (chemically induced, diagnosis, etiology)
• Humans
• Male
• Remission, Spontaneous
• Shoulder Pain (therapy)
• Time Factors
• Ultrasonography, Interventional (methods)
• Watchful Waiting