Reactions 1704, p74 - 2 Jun 2018 Horner’s syndrome and Harlequin syndrome: case report A 31-year-old woman developed Horner’s syndrome and Harlequin syndrome following an anaesthetic bolus of bupivacaine and lidocaine. The primipara woman requested epidural analgesia during labour following induction with oxytocin at 37 weeks of gestation. She received an epidural analgesia, after which relief from labour pain was achieved. Six hours after the epidural analgesia, she was suspected for possible loss of fetal well- being during the active phase of dilatation. Therefore, an emergency caesarean was required. She received a bolus of bupivacaine 25mg and lidocaine 200mg anaesthesia through the epidural catheter with the aim of appropriate sensory- motor blocking. After fifteen minutes of epidural anaesthesia, there was an appearance of unilateral flushing on the on the right upper limb and right-hand side of the face with elevated temperature and unilateral hyperhidrosis. After a few minutes of evolution, establishment of Horner’s syndrome followed by while pallor, coldness and nausea in the left unilateral region were noted. There were no other concomitant symptoms. The women was transferred to the resuscitation unit. A differential diagnosis of Harlequin syndrome was made. In the post-surgery period, she received IV analgesic regimen and epidural catheter was removed. After eight hours of surveillance, a continuous disappearance of the ocular involvement was observed. Subsequently, unilateral flushing also disappeared. After observation, she was discharged without findings of interest at a maternal-neonatal level. Author comment: "To summarize, we reported on a case in which Harlequin and Horner’s syndromes coexisted following obstetric locoregional anaesthesia." Redondo JM, et al. Harlequin syndrome as a rare complication after epidural anaesthesia in an obstetric patient. Minerva Anestesiologica 84: 524-526, No. 4, Apr 2018. Available from: URL: http://doi.org/10.23736/S0375-9393.18.12310-8 - Spain 803323266 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera