Horners syndrom og ipsilateral armparese efter anlæggelse af fødeepidural

Mie Cecilie Hall Jensen; Bjarke Risgaard; Hanne Trap Wolf

doi:10.61409/V10240693

Horners syndrom og ipsilateral armparese efter anlæggelse af fødeepidural

Translated title of the contribution: Horner's syndrome following epidural analgesia for labour

Mie Cecilie Hall Jensen^*, Bjarke Risgaard, Hanne Trap Wolf

^*Corresponding author for this work

Abstract

Horner's syndrome is a rare complication of epidural analgesia, likely due to the cephalad spread of anaesthetics. We report a 30-year-old woman who developed Horner's syndrome 25 minutes after receiving an epidural, showing unilateral arm weakness, ptosis, miosis, and conjunctival hyperaemia. The symptoms resolved in 2.5 hours with no post-partum neurological deficits. While persistent symptoms may require further investigation, unnecessary imaging and treatment can be avoided. This case emphasizes the importance of recognizing this rare complication to obstetric anaesthesia.

Translated title of the contribution	Horner's syndrome following epidural analgesia for labour
Original language	Danish
Article number	V10240693
Journal	Ugeskrift for Laeger
Volume	187
Issue number	16
Number of pages	3
ISSN	0041-5782
DOIs	https://doi.org/10.61409/V10240693
Publication status	Published - 14 Apr 2025

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10.61409/V10240693Licence: CC BY-NC-ND

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title = "Horners syndrom og ipsilateral armparese efter anl{\ae}ggelse af f{\o}deepidural",

abstract = "Horner's syndrome is a rare complication of epidural analgesia, likely due to the cephalad spread of anaesthetics. We report a 30-year-old woman who developed Horner's syndrome 25 minutes after receiving an epidural, showing unilateral arm weakness, ptosis, miosis, and conjunctival hyperaemia. The symptoms resolved in 2.5 hours with no post-partum neurological deficits. While persistent symptoms may require further investigation, unnecessary imaging and treatment can be avoided. This case emphasizes the importance of recognizing this rare complication to obstetric anaesthesia.",

keywords = "Humans, Female, Adult, Analgesia, Epidural/adverse effects, Horner Syndrome/etiology, Pregnancy, Analgesia, Obstetrical/adverse effects",

author = "Jensen, \{Mie Cecilie Hall\} and Bjarke Risgaard and Wolf, \{Hanne Trap\}",

note = "Published under Open Access CC-BY-NC-BD 4.0. https://creativecommons.org/licenses/by-nc-nd/4.0/.",

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T1 - Horners syndrom og ipsilateral armparese efter anlæggelse af fødeepidural

AU - Jensen, Mie Cecilie Hall

AU - Risgaard, Bjarke

AU - Wolf, Hanne Trap

N1 - Published under Open Access CC-BY-NC-BD 4.0. https://creativecommons.org/licenses/by-nc-nd/4.0/.

PY - 2025/4/14

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N2 - Horner's syndrome is a rare complication of epidural analgesia, likely due to the cephalad spread of anaesthetics. We report a 30-year-old woman who developed Horner's syndrome 25 minutes after receiving an epidural, showing unilateral arm weakness, ptosis, miosis, and conjunctival hyperaemia. The symptoms resolved in 2.5 hours with no post-partum neurological deficits. While persistent symptoms may require further investigation, unnecessary imaging and treatment can be avoided. This case emphasizes the importance of recognizing this rare complication to obstetric anaesthesia.

AB - Horner's syndrome is a rare complication of epidural analgesia, likely due to the cephalad spread of anaesthetics. We report a 30-year-old woman who developed Horner's syndrome 25 minutes after receiving an epidural, showing unilateral arm weakness, ptosis, miosis, and conjunctival hyperaemia. The symptoms resolved in 2.5 hours with no post-partum neurological deficits. While persistent symptoms may require further investigation, unnecessary imaging and treatment can be avoided. This case emphasizes the importance of recognizing this rare complication to obstetric anaesthesia.

KW - Humans

KW - Female

KW - Adult

KW - Analgesia, Epidural/adverse effects

KW - Horner Syndrome/etiology

KW - Pregnancy

KW - Analgesia, Obstetrical/adverse effects

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Horners syndrom og ipsilateral armparese efter anlæggelse af fødeepidural

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