Coexisting harlequin and Horner syndromes after high thoracic paravertebral anaesthesia

被引：49

作者：

Burlacu, CL ^{[1
]}

Buggy, DJ ^{[1
]}

机构：

[1] Mater Misericordiae Univ Hosp, Dept Anaesthesia Intens Care & Pain Med, Dublin 7, Ireland

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2005年 / 95卷 / 06期

关键词：

anaesthetic techniques; regional; paravertebral; sympathetic nervous system; ganglion block;

D O I：

10.1093/bja/aei258

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

A patient undergoing left mastectomy and immediate latissimus dorsi breast reconstruction under combined paravertebral block and general anaesthesia developed transient, well-demarcated, right-sided hemifacial erythema and sweating, and left-sided Horner syndrome postoperatively. This 'harlequin' appearance occurs because of a normal or excessive vasodilatory, thermoregulatory response to heat or emotion mediated by an intact sympathetic pathway on the erythematous side, together with relative pallor of the pharmacologically blocked side.

引用

页码：822 / 824

页数：3

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