[Horner's syndrome during vaginal delivery with epidural analgesia]

Agri. 2021 Oct;33(4):272-275. doi: 10.14744/agri.2019.71354.
[Article in Turkish]


One of the most severe pains that women can experience throughout their lives is birth pain. Epidural analgesia is the ideal method to provide pain control in vaginal delivery. Horner syndrome is a rare complication of epidural analgesia. In pregnant women, Horner syndrome may be seen more frequently due to epidural analgesia. It is characterized by ptosis, myosis, enophthalmos, anisocoria, conjunctival hyperemia, flashing on the affected face and sweating record (anhydroz). It usually resolves without a permanent neurological defect. Stellate, cervical and brachial plexus blocks, thoracic, lumbar and sacral region epidural anesthesia applications are among the most common causes of Horner syndrome associated with anesthesia applications. The non-anesthetic causes of Horner syndrome include head and neck surgery, hypothalamus-thalamus and brainstem-related lesions, trauma to the head and neck, and pulmonary apical tumors associated with malignancy. In this case report, we want-ed to present Horner syndrome in vaginal delivery with epidural analgesia. All pregnant women undergoing epidural analgesia should be closely followed up, taking into account possible complications and taking necessary precautions.

Publication types

  • Case Reports

MeSH terms

  • Analgesia, Epidural* / adverse effects
  • Anesthesia, Epidural*
  • Brachial Plexus Block*
  • Delivery, Obstetric
  • Female
  • Horner Syndrome* / chemically induced
  • Humans
  • Pregnancy