• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Open Anesthesia Journal >Horner Syndrome After Lumbar Epidural Analgesia in a Patient with Ehlers-danlos Syndrome
【24h】

Horner Syndrome After Lumbar Epidural Analgesia in a Patient with Ehlers-danlos Syndrome

机译：Ehlers-danlos综合征患者腰硬膜外镇痛后的Horner综合征

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Horner syndrome is a facial triad of miosis, ptosis, and anhidrosis. It is produced by a lesion of the sympathetic pathway supplying the head, eye, and neck. Causes range from benign to serious. Epidural anesthesia is widely used during obstetrics and general surgery. Although generally a safe procedure, it can cause neurologic and ophthalmologic complications. We report a case of unilateral Horner syndrome in a 43-year-old woman with Ehlers-Danlos syndrome (EDS). The patient underwent bowel and urogenital surgery under general anesthesia supplemented with L4-L5 epidural anesthesia. Horner syndrome may have been promoted by increased local anesthetic spread permitted by the connective tissue dysfunction of EDS. Furthermore, the patient suffered chronic constipation as a complication of EDS, and straining may have promoted upward spread of the local anesthetic. In addition, weakness of the dura and/or ligamentum flavum might predispose to subdural migration of epidural catheters in patients with EDS. Accordingly, EDS may increase the likelihood of a Horner syndrome following epidural anesthesia.
机译：霍纳综合症是一种面部三联症，包括瞳孔缩小，上睑下垂和多汗症。它是由供应头部，眼睛和颈部的交感神经病变引起的。原因从良性到严重。硬膜外麻醉在产科和普通外科手术中被广泛使用。尽管通常是安全的程序，但它可能导致神经系统和眼科并发症。我们报告一名43岁的Ehlers-Danlos综合征（EDS）的女性单侧霍纳综合征的病例。该患者在全身麻醉下补充L4-L5硬膜外麻醉，进行了肠和泌尿生殖系统手术。由于EDS的结缔组织功能障碍，局部麻醉剂扩散增加可能促进了霍纳综合征。此外，该患者患有慢性便秘，是EDS的并发症，劳损可能促进了局部麻醉药的向上扩散。另外，EDS患者硬脑膜和/或黄韧带的无力可能导致硬膜外导管硬膜下迁移。因此，EDS可能会增加硬膜外麻醉后霍纳综合征的可能性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号