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Tytuł:
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Horner's Syndrome with Unilateral Brachial Plexus Blockade Mimicking Cerebrovascular Accident Following Lumbar Combined Spinal Epidural Analgesia for Labor.
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Autorzy:
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Bennett RJ; Department of Anesthesia, San Antonio Uniformed Service Health Education Consortium, 3551 Roger Brooke Drive, San Antonio, TX 78234.
Wooten A; Department of Anesthesia, San Antonio Uniformed Service Health Education Consortium, 3551 Roger Brooke Drive, San Antonio, TX 78234.
Babbel L; Department of Anesthesia, San Antonio Uniformed Service Health Education Consortium, 3551 Roger Brooke Drive, San Antonio, TX 78234.
Reel BA; Department of Anesthesia, San Antonio Uniformed Service Health Education Consortium, 3551 Roger Brooke Drive, San Antonio, TX 78234.
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Źródło:
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Military medicine [Mil Med] 2020 Feb 12; Vol. 185 (1-2), pp. e322-e323.
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Typ publikacji:
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Case Reports; Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: 2018- : Oxford : Oxford University Press
Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955-
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MeSH Terms:
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Analgesia, Epidural*/adverse effects
Brachial Plexus Block*/adverse effects
Horner Syndrome*/chemically induced
Horner Syndrome*/diagnosis
Brachial Plexus ; Humans ; Stroke
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Contributed Indexing:
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Keywords: Brachial Plexus Blockade; Cerebrovascular Accident; Combined Spinal Epidural; Horner’s Syndrome; Labor
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Entry Date(s):
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Date Created: 20190911 Date Completed: 20210416 Latest Revision: 20210416
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Update Code:
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20240105
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DOI:
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10.1093/milmed/usz160
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PMID:
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31504771
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Horner's Syndrome (HS) with brachial plexus involvement following lumbar epidural anesthesia may be a startling event for the patient and providers. We present a case of Horner's Syndrome and complete brachial plexus blockade following epidural bolus of lidocaine for labor analgesia that was initially misdiagnosed as a cerebrovascular accident. Use of the catheter was discontinued and the episode resolved with expectant management. This complication is otherwise benign and resolves without sequelae.
(© Association of Military Surgeons of the United States 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
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