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KMID : 0356919950290040569
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Korean Journal of Anesthesiology
1995 Volume.29 No. 4 p.569 ~ p.572
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Homer's Syndrome after Epidural Anesthesia
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Kim Hyun-Jung
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Abstract
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Neurologic complications associated with epidural anesthesia are rare. Recently, we experienced 2 cases of of Horner's syndrome which occurred after lumbar and thoracic epidural anesthesia. In the first case, 30-year-old woman underwent cesarean
section
under lumbar epidural anesthesia with 20 ml of 2% and 10 ml of 1% lidocaine. One hundred minutes after epidural injection, she was found to have developed incomplete Horner's syndrome on the left side. The cutaneous anesthesia level reached C7 on
the
left and T2 on the right side. We tried to identify the location of the catheter tip with 3 ml of contrast dye and its location was the epidural space of a third lumbar vertebral body. Horner's syndrome disappeared five hours later. In the second
case,
young healthy woman underwent the excisional biopsy of the breast mass under thoracic epidural anesthesia. She developed complete Horner's syndrome which disappeared three hours later on the right side with T3 cutaneous anesthesia level. We
postulated
that the cause of these syndromes was an excessive upward epidural extension of local anesthetics.(Korean J Anestheisol 1995; 29: 569∼572)
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