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The Journal of the American Board of Family Medicine 19:521-523 (2006)
© 2006 American Board of Family Medicine

Brief Report

Horner’s Syndrome and Trigeminal Nerve Palsy following Epidural Analgesia for Labor

James H. Lynch, MAJ, MC, USA, Ryan J. Keneally, MAJ, MC, USA and Thomas R. Hustead, MAJ, MC, USA

Department of Family Medicine (JHL, TRH), Tripler Army Medical Center, Hawaii (E-mail: james.h.lynch{at}us.army.mil)
Department of Anesthesia (RJK), Tripler Army Medical Center, Hawaii (E-mail: james.h.lynch{at}us.army.mil)

Correspondence: Corresponding author: MAJ James H. Lynch, Tripler Army Medical Center, Department of Family Medicine, Hawaii (E-mail: james.h.lynch{at}us.army.mil)

Epidural analgesia is a widely used method of pain control in the labor and delivery setting but is not without risks. We present a case of Horner’s syndrome and trigeminal nerve palsy as a rare complication of epidural analgesia in an obstetric patient. Although reported in few instances in the anesthesia literature, awareness among providers in obstetrics is critical because this could be the first sign of a high sympathetic blockade resulting in potential maternal-fetal morbidity.


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Copyright © 2006 by the American Board of Family Medicine.