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  • Title: Horner's syndrome and trigeminal nerve palsy after lumbar epidural analgesia for labor and delivery.
    Author: Narouze SN, Basali A, Mandel M, Tetzlaff JE.
    Journal: J Clin Anesth; 2002 Nov; 14(7):532-4. PubMed ID: 12477590.
    Abstract:
    This report highlights transient Horner's syndrome and trigeminal nerve palsy following labor epidural analgesia. A 29-year-old primigravida had a lumbar epidural catheter placed for analgesia in labor. The analgesia was maintained by infusion of a dilute local anesthetic/opioid mixture and turned off after achieving complete cervical dilation. Approximately 1 hour after delivery she complained of heaviness in her left eyelid, and was noted to have left-sided ptosis and paresthesia within the distribution of the ophthalmic and maxillary divisions of the trigeminal nerve, which resolved over the next 2 hours. There were no other neurologic changes. Horner's syndrome and cranial nerve palsies can occur as a consequence of epidural analgesia for labor.
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