Transient Horner's syndrome after single shot paravertebral block

Abstract Background Thoracic paravertebral block can provide analgesia for unilateral chest surgery and is associated with a low complication rate. Horner syndrome also referred to as oculosympathetic paresis, is a classic neurologic constellation of ipsilateral blepharoptosis, pupillary miosis, and facial anhidrosis resulting from disruption of the sympathetic pathway supplying the head, eye, and neck. Case report We present a patient with an ipsilateral transient Horner syndrome after ultrasound guided single shot of 15 mL 0.25% levobupivacaine for thoracic paravertebral block at T5–6 level. Conclusions It should be kept in mind that even a successful ultrasound guided single shot thoracic paravertebral block can be complicated with Horner syndrome due to unpredictable distribution of the local anesthetic.

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Bibliographic Details
Main Authors: Gölboyu,Birzat Emre, Ekinci,Mürsel, Baysal,Pınar Karaca, Yeksan,Ayşe Nur, Çelik,Erkan Cem, Bilgi,Zeynep, Aksun,Murat
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Anestesiologia 2018
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000500518
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