Transient Horner's Syndrome in a Trauma Patient with Thoracic Epidural Analgesia: A Case Report

Author:

Menendez Carolyn1,Macmillan David T.2,Britt L.D.1

Affiliation:

1. Department of Surgery, Eastern Virginia Medical School, Norfolk

2. Columbia Montgomery Regional Hospital, Blacksburg, Virginia

Abstract

Horner's syndrome, which classically presents as ipsilateral ptosis, meiosis, and facial anhydrosis, may present as a consequence of thoracic epidural analgesia. Pain that limits the patient's ability to maintain adequate pulmonary mechanics may optimally be treated with a thoracic epidural. The importance of recognition of a Horner's syndrome in such a patient is critical in preventing unnecessary anxiety for the patient and potentially embarking on an unnecessary diagnostic workup. The following is a case presentation of a patient who sustained multiple rib fractures in an automobile accident. The patient presented with a Horner's syndrome after a thoracic epidural infusion had begun. This article highlights the importance of early recognition of this benign, transient syndrome and discusses the pathways and potential mechanism of this process.

Publisher

SAGE Publications

Subject

General Medicine

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