Abstract
Horner's syndrome is a rare complication of epidural analgesia for labor. Much more uncommon is trigeminal nerve palsy. Both complications may be attributed to a subdural localization of the catheter, as we demonstrated clinically by a repeat injection and patchy sympathetic block and with the typical image on epidurography.
MeSH terms
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Adult
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Analgesia, Epidural / adverse effects*
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Analgesia, Epidural / methods
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Analgesia, Obstetrical / adverse effects*
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Analgesia, Obstetrical / methods
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Anesthetics, Intravenous / administration & dosage
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Anesthetics, Intravenous / adverse effects
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Anesthetics, Local / administration & dosage
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Anesthetics, Local / adverse effects
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Bupivacaine / administration & dosage
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Bupivacaine / adverse effects
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Catheterization / adverse effects*
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Contrast Media / administration & dosage
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Female
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Fentanyl / administration & dosage
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Fentanyl / adverse effects
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Horner Syndrome / chemically induced*
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Humans
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Iohexol
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Labor Pain / drug therapy*
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Lidocaine / administration & dosage
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Lidocaine / adverse effects
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Obstetric Labor Complications / etiology
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Pregnancy
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Spinal Canal / diagnostic imaging
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Subdural Space / diagnostic imaging
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Tomography, X-Ray Computed / methods
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Trigeminal Nerve Diseases / chemically induced*
Substances
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Anesthetics, Intravenous
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Anesthetics, Local
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Contrast Media
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Iohexol
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Lidocaine
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Fentanyl
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Bupivacaine