Following lumbar epidural analgesia, a 26 year old primigravida developed right ptosis and other signs of paralysis of the right sympathetic supply to the head and neck. The case is discussed and compared with cases of Horner's syndrome which have followed epidural analgesia. It was probably due to differential sympathetic blockade.
References
1.
BoysJ. E., and NormanP. F. (1975): “Accidental subdural analgesia”, Brit. J. Anaesth., 47, 1111.
2.
BromageP. R. (1975): “Mechanism of action of extradural analgesia”, Brit. J. Anaesth., 47, 199.
3.
CollierC. B. (1975): “Horner's syndrome following obstetric extradural block analgesia”, Brit. J. Anaesth., 47, 1342.
4.
EvansJ. M., GauciC. A., and WatkinsG. (1975): “Horner's syndrome as a complication of lumbar epidural block”, Anaesthesia, 30, 774.
5.
GreeneN. M. (1958): “Area of differential block in spinal anaesthesia with hyperbaric tetracaine”, Anesthesiology, 19, 45.
6.
HeavnerJ. E., and de JongR. H. (1974): “Lidocaine blocking concentrations for B— and C— nerve fibres”, Anesthesiology, 40, 228.
7.
HornerF. (1869): “Uber eine Form von Ptosis”, Klin. Monatsbl. Augenheillol., 7, 193.
8.
KepesE. R., MartinezL. R., PantuckE., and StarkD. C. C. (1972): “Horner's syndrome following caudal anaesthesia”.N.Y. State J. Med., 72, 946.
9.
ThomasD. V. (1976): “Horner's syndrome following obstetric extradural block”, Brit. J. Anaesth., 48, 611.
10.
WarwickR., and WilliamsP. L. (1973): Editors of Gray's Anatomy, 35th edition, pages 1073–4. Longman, Edinburgh.
11.
WorthleyL. I. G., and FenwickD. G. (1976): “Unilateral Extradural Analgesia”, Brit. J. Anaesth., 48, 394.
