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  • Title: Horner's syndrome after lumbar epidural analgesia during labor.
    Author: Al-Mustafa MM, Massad IM, Al-Ghanem SM, Badran IZ.
    Journal: Middle East J Anaesthesiol; 2010 Jun; 20(5):727-9. PubMed ID: 20803864.
    Abstract:
    Horner's syndrome is rarely reported after epidural analgesia during labor. The use of Top-Up local anesthetic for controlling labor pain in the first stage of labor, or to dense the block in caesarean deliveries can result in this complication. We reported a cases of Horner's syndrome during epidural analgesia in labor in spite of not giving any Top-Up dose. The case was clinically evident and was successfully managed by stopping the epidural infusion, and reassuring the parturient as well as the family; until the disappearance of the signs and symptoms. The infusion was then restarted, delivery was uneventful and no consequent neurological or psychological problems were noticed after a one-month follow-up.
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