Syndrome de Horner transitoire après anesthésie péridurale thoracique pour mastectomie: étude observationnelle prospective

A Prospective Observational Study to Assess the Efficacy of Thoracic Epidural Anaesthesia for Mastectomy

“…[14] Sun Young Park et al studied the incidence of Horner's syndrome with high thoracic epidural block by selecting 450 patients undergoing breast surgeries. [8] Only two patients (0.6%) had dural puncture and six patients (1.6%) had Horner's syndrome. No cases of dural puncture, Horner's syndrome or other neurological complications occurred in our patients.…”

“…[1][2][3][4][5] Thoracic epidural anaesthesia has been found effective in various studies. [6][7][8][9][10] Balzarena et al found its advantages over general anaesthesia with greater satisfaction and earlier discharge, [6] Clinical benefits associated with epidural anaesthesia and analgesia is achieved with the thoracic approach, particularly with the appropriate use of local anaesthetics. These include an effective postoperative analgesia, lower incidence of pulmonary complications, stabilization of endothelial coronary function, earlier return of bowel function, preservation of immunecompetence, early ambulation and a reduction in the cost of perioperative care.…”

“…Balzarena et al and Sundarathiti et al selected T 4 -T 5 space and Sun Young Park et al selected T 3 -T 4 /T 4 -T 5 space. [6][7][8] As breast surgery does not need muscle relaxation 0.25%bupivacaine was used. It has an acceptable onset time, long duration of action, profound Section: Anaesthesia conduction blockade and significant separation of sensory and motor blockade.…”

“…[1][2][3][4][5] We selected thoracic epidural based on clinical evidence from various studies of the effectiveness of it and the lower incidence of complications. [6][7][8][9][10] This familiar technique is associated with lower incidence and severity of perioperative physiologic disruptions. It selectively blocks cardiac sympathetic fibres and thus attenuates surgical stress response, improves myocardial oxygen balance and stabilizes intraoperative hemodynamics.…”

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

“…Epidural anesthesia can lead to a Horner syndrome due to pharmacologic disruption of the preganglionic neuron as it exits the spinal cord [17,18]. Post-epidural Horner syndrome is most often reported in obstetrical procedures.…”