Bilateral Horner's Syndrome after a Stellate Ganglion Block.
10.4097/kjae.2002.43.2.241
- Author:
Kyung Joon LIM
1
;
Ye Jung CHOI
Author Information
1. Department of Anesthesiology, College of Medicine, Chosun University, Gwangju, Korea. kjlim@mail.chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Horner's syndrome;
stellate ganglion block
- MeSH:
Brachial Plexus;
Chronic Pain;
Female;
Horner Syndrome*;
Humans;
Middle Aged;
Paralysis;
Phrenic Nerve;
Pneumothorax;
Recurrent Laryngeal Nerve;
Stellate Ganglion*
- From:Korean Journal of Anesthesiology
2002;43(2):241-244
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A stellate ganglion block (SGB) is a widely used procedure in the treatment of chronic pain syndromes in the facial and cervicobrachial regions as well as in nonpainful conditions. The complications of a stellate ganglion block include intra-arterial or intracranial injection of local anesthetic, Horner's syndrome, phrenic nerve block, recurrent laryngeal nerve paralysis, brachial plexus block, and pneumothorax. Horner's syndrome after the performance of a stellate ganglion block is a valuable sign of a successful block, but contralateral or bilateral Horner's syndrome remains an unusual and poorly explained phenomenon. We experienced a case of a 56 year-old female patient who had developed ipsilateral and contralateral Horner's syndrome after a stellate ganglion block. The ipsilateral Horner's syndrome was resolved after several hours but the contralateral side lasted for a week.