Ömer Karaca1, Sezen Kumaş Solak1, Serdar Demirgan2, Mehmet Bademci3

1Ordu State Hospital, Anesthesiology And Reanimation,ordu Turkey
2Düzce Atatürk State Hospital,düzceanesthesiology And Reanimation, Turkey
3Ordu State Hospital, Cardivascular Surgery, Turkey

Keywords: combine spinal-epidural anaesthesia, Horner syndrome

Abstract

Horner syndrome is rarely observed in epidural anaesthesia; it is characterized by ptosis enophthalmos miosis, anisocoria, and conjunctival hyperemia in the affected eye and anhydrosis and flushing on the affected side of the face. It is usually a complication spontaneously resolved without permanent neurological deficits. Intraoral anaesthesia, stellate, cervical and brachial plexus block, thoracic, lumbar and caudal epidural anaesthesia and intrapleural analgesia are the main causes associated with anaesthesia in Horner syndrome. Among the other causes of Horner syndrome are head and neck surgery, trauma and puncture of the internal jugular vein. We aimed to present a case with unilateral Horner syndrome, which appeared in the aortabifemoral bypass after lumbar spinal- epidural anaesthesia.