Reactions 1394 - 24 Mar 2012

SBupivacaine/fentanyl

Horner’s syndrome: case reportA 33-year-old woman developed persistent, unilateral

Horner’s syndrome after the administration of bupivacaineand fentanyl [dosages not stated].

The woman received an epidural block with bupivacaine0.125% and fentanyl 2 mcg/mL during labour andunderwent a caesarean section for delivery. Uponadministration of the bupivacaine and fentanyl, sheexperienced immediate right-sided back pain.Approximately 12 hours after the administration andpostoperatively, right-sided blepharoptosis was noticed[exact time to reaction onset unknown]. She presented withpersistent blepharoptosis 9 weeks after her caesareansection.

The patient’s cranial nerves and neurological exam werenormal. She was diagnosed with Horner’s syndrome. Uponexamination, she had right-sided blepharoptosis of 1mm,right-sided proptosis of 2mm and anisocoria. There was nopupillary response in her right-eye after the installation ofcocaine 2%. Blepharoptosis remained unchanged8.5 months later, and she declined surgery.Goel S, et al. Unusual case of persistent Horner’s syndrome following epiduralanaesthesia and caesarean section. Indian Journal of Ophthalmology 59: 389-91,No. 5, Sep-Oct 2011 - USA 803068433

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Reactions 24 Mar 2012 No. 13940114-9954/10/1394-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved