Literature DB >> 16227336

Coexisting harlequin and Horner syndromes after high thoracic paravertebral anaesthesia.

C L Burlacu1, D J Buggy.   

Abstract

A patient undergoing left mastectomy and immediate latissimus dorsi breast reconstruction under combined paravertebral block and general anaesthesia developed transient, well-demarcated, right-sided hemifacial erythema and sweating, and left-sided Horner syndrome postoperatively. This "harlequin" appearance occurs because of a normal or excessive vasodilatory, thermoregulatory response to heat or emotion mediated by an intact sympathetic pathway on the erythematous side, together with relative pallor of the pharmacologically blocked side.

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Year:  2005        PMID： 16227336     DOI： 10.1093/bja/aei258

Source DB:  PubMed          Journal:  Br J Anaesth        ISSN： 0007-0912            Impact factor:   9.166


  10 in total

Review 1.  Paravertebral Blocks for Same-Day Breast Surgery.

Authors:  Mark R Jones; Graham R Hadley; Alan D Kaye; Philipp Lirk; Richard D Urman
Journal:  Curr Pain Headache Rep       Date:  2017-08

2.  Harlequin syndrome with contralateral anhidrosis after an upper chest gunshot wound.

Authors:  Syed Yaseen Naqvi; Abir Zainal; Shane Patrick Flood; Paul Kinniry
Journal:  BMJ Case Rep       Date:  2016-08-17

3.  Pectoral Nerve (PECs) block for postoperative analgesia-a systematic review and meta-analysis with trial sequential analysis.

Authors:  Zhaosheng Jin; Ru Li; Tong J Gan; Yaohua He; Jun Lin
Journal:  Int J Physiol Pathophysiol Pharmacol       Date:  2020-02-25

4.  Paravertebral block.

Authors:  Ravinder Kumar Batra; Krithika Krishnan; Anil Agarwal
Journal:  J Anaesthesiol Clin Pharmacol       Date:  2011-01

5.  Comparison of analgesic efficacy of ultrasound-guided thoracic paravertebral block versus surgeon-guided serratus anterior plane block for acute postoperative pain in patients undergoing thoracotomy for lung surgery-A prospective randomized study.

Authors:  Anuradha Patel; Vinod Kumar; Rakesh Garg; Sushma Bhatnagar; Seema Mishra; Nishkarsh Gupta; Sachidanand Jee Bharti; Sunil Kumar
Journal:  Saudi J Anaesth       Date:  2020-09-24

6.  Efficacy of the erector spinae plane (ESP) block for quality of recovery in posterior thoraco-lumbar spinal decompression surgery: study protocol for a randomised controlled trial.

Authors:  Dylan T Finnerty; Donal J Buggy
Journal:  Trials       Date:  2021-02-17       Impact factor: 2.279

7.  Continuous erector spinae plane block for acute pain control in chest wall reconstruction of extensive traumatic degloving injury.

Authors:  Sudipta Sen; Nadia Hernandez; Xuan T Langridge; Grigorios A Lamaris; Michelle A Ge; Johanna B De Haan
Journal:  Trauma Case Rep       Date:  2021-02-10

8.  Effect of ultrasound-guided erector spinae plane block on post-surgical pain in patients undergoing nephrectomy: a single-center, randomized, double-blind, controlled trial.

Authors:  Ayhan Şahin; Onur Baran
Journal:  J Int Med Res       Date:  2022-03       Impact factor: 1.671

Review 9.  Mini-Review on the Harlequin Syndrome-A Rare Dysautonomic Manifestation Requiring Attention.

Authors:  Ioannis Mavroudis; Ioana-Miruna Balmus; Alin Ciobica; Alina-Costina Luca; Rumana Chowdhury; Alin-Constantin Iordache; Dragos Lucian Gorgan; Iulian Radu
Journal:  Medicina (Kaunas)       Date:  2022-07-15       Impact factor: 2.948

10.  Comparative evaluation of ropivacaine and levobupivacaine for postoperative analgesia after ultrasound-guided paravertebral block in patients undergoing percutaneous nephrolithotomy.

Authors:  Richa Saroa; Sanjeev Palta; Siddharath Puri; Ravinder Kaur; Vidur Bhalla; Atin Goel
Journal:  J Anaesthesiol Clin Pharmacol       Date:  2018 Jul-Sep
  10 in total

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