Case Report

Unilateral Horner Syndrome Following Epidural Anaesthesia in a Morbidly Obese Parturient

10.5152/TJAR.2015.03360

  • Canan Yılmaz
  • Derya Karasu
  • Demet Özer
  • Ümit Çağlayan
  • Oya Karakaş

Received Date: 20.05.2014 Accepted Date: 21.10.2014 Turk J Anaesthesiol Reanim 2015;43(3):196-198

Horner syndrome is rarely observed in epidural anaesthesia; it is characterized by ptosis and enophthalmos on the affected side; miosis, anisocoria, and conjunctival hyperemia in the affected eye and anhydrosis and flushing on the affected side of the face. It is usually a complication spontaneously resolved without permanent neurological deficits. Intraoral anaesthesia, stellate, cervical and brachial plexus block, thoracic, lumbar and caudal epidural anaesthesia and intrapleural analgesia are the main causes associated with anaesthesia in Horner syndrome. Among the other causes of Horner syndrome are head and neck surgery, trauma and puncture of the internal jugular vein. We aimed to present a case with unilateral Horner syndrome, which appeared in the morbidly obese parturient after lumbar epidural anaesthesia.

Keywords: Epidural anaesthesia, pregnant, Horner syndrome