Kosin Med J.  2018 Jun;33(1):91-95. 10.7180/kmj.2018.33.1.91.

Unilateral Horner's Syndrome following supraclavicular brachial plexus block

• Oh D

• KMID: 2415844
• DOI: http://doi.org/10.7180/kmj.2018.33.1.91

Abstract

Supraclavicular brachial plexus block, due to its wide range of indications, is the most widely practiced procedure in anesthesiology. We experienced the case of a 45-year-old female patient who developed unilateral Horner's Syndrome after the use of supraclavicular brachial plexus block. The patient recovered spontaneously from the Horner's syndrome after 2 hours. If Horner's syndrome should occur, its etiology will need to be assessed. It is also important to assure the patient they will recover from the complication within a year.

Keyword

Horner's Syndrome; Supraclavicular Block

MeSH Terms

Anesthesiology
Brachial Plexus Block*
Brachial Plexus*
Female
Horner Syndrome*
Humans
Middle Aged

Figure

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  Fig. 1 Miosis of the left pupil.

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  Fig. 2 Both pupils of the same size.

Reference

1. Wedel DJ, Horlocker TT. Nerve blocks. In : Miller RD, Fleisher LA, Johns RA, Savarese JJ, Viener-Kronish JP, Young WL, editors. Miller's Anesthesia. 6th ed. Philadelphia: Elsevier Churchill Livingstone;2005. p. 1685–1717.

2. Walton KA, Buono LM. Horner syndrome. Curr Opin Ophthalmol. 2003; 14:357–363.

3. Brown AR, Weiss R, Greenberg C, Flatow EL, Bigliani LU. Interscalene block for shoulder arthroscopy: comparison with general anesthesia. Arthroscopy. 1993; 9:295–300.

4. Mingus ML. Recovery advantages of regional anesthesia compared with general anesthesia: adult patients. J Clin Anesth. 1995; 7:628–633.

5. Larsson S, Lundberg D. A prospective survey of postoperative nausea and vomiting with special regard to incidence and relations to patient characteristics, anesthetic routines and surgical procedures. Acta Anaesthesiol Scand. 1995; 39:539–545.

6. Coventry DM, Barker KF, Thomson M. Comparison of two neurostimulation techniques for axillary brachial plexus blockade. Br J Anaesth. 2001; 86:80–83.

7. Thompson GE, Rorie DK. Functional anatomy of the brachial plexus sheaths. Anesthesiology. 1983; 59:117–122.

8. Tuominen MK, Pitkänen MT, Numminen MK, Rosenberg PH. Quality of axillary brachial plexus block. Comparison of success rate using perivascular and nerve stimulator techniques. Anaesthesia. 1987; 42:20–22.

9. Stan TC, Krantz MA, Solomon DL, Poulos JG, Chaouki K. The incidence of neurovascular complications following axillary brachial plexus block using a transarterial approach. A prospective study of 1,000 consecutive patients. Reg Anesth. 1995; 20:486–492.

10. Walton KA, Buono LM. Horner syndrome. Curr Opin Ophthalmol. 2003; 14:357–363.

11. Fleishman JA, Bullock JD, Rosset JS, Beck RW. Iatrogenic Horner's syndrome secondary to chest tube thoracostomy. J Clin Neuroophthalmol. 1983; 3:205–210.

12. Taskapan H, Oymak O, Dogukan A, Utas C. Horner's syndrome secondary to internal jugular catheterization. Clin Nephrol. 2001; 56:78–80.

13. Teich SA, Halprin SL, Tay S. Horner's syndrome secondary to Swan-Ganz catheterization. Am J Med. 1985; 78:168–170.

14. Ekatodramis G, Macaire P, Borgeat A. Prolonged Horner syndrome due to neck hematoma after continuous interscalene block. Anesthesiology. 2001; 95:801–803.

15. Ibrahim M, Parmar H, Yang L. Horner syndrome associated with contusion of the longus colli muscle simulating a tumor. J Neuroophthalmol. 2010; 30:70–72.