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Delayed Homer's Syndrome following Obstetric Extradural Block

Ronny Hertz, MD^*, Claire A. Chiovari, MD, and Gertie F. Marx, MD

*Resident in Anesthesiology. Departments of Anesthesiology, and Gynecology and Obstetrics, Albert Einstein College of Medicine, Bronx, New York 10461. Resident in Gynecology and Obstetrics. Departments of Anesthesiology, and Gynecology and Obstetrics, Albert Einstein College of Medicine, Bronx, New York 10461. Professor of Anesthesiology. Departments of Anesthesiology, and Gynecology and Obstetrics, Albert Einstein College of Medicine, Bronx, New York 10461.

Abstract

Horner's syndrome has been reported as a complication of lumbar or sacral extradural block in parturients, occurring either in association with high sensory levels,^1–3 or immediately following administration of the test-dose.^2,4 We observed the development of a Horner's syndrome in a postpartum woman whose sensory analgesia had already worn off.