Abstract
Background: We describe a case of recurrent Horner’s Syndrome (HS) after epidural analgesia twice in the same delivery. Case Report: A 35-year-old woman requesting epidural analgesia for labor. Epidural technique was carried out without complications but resulted in a Horner’s Syndrome with incomplete and asymmetric sensory block. Due to the high suspicion of a subdural block no further local anesthetics (LA) were administered. HS resolved spontaneously. Another attempted epidural catheter placement was performed. Horner’s syndrome appeared again. No further epidural attempts were performed. Conclusions: There are no guidelines for epidural catheter management when HS is developed. Some authors consider it safe to continue LA infusion in patients with isolated HS. However, it seems prudent to discontinue LA administration to avoid high spinal block. It is important to make decisions on a case-by-case basis. This case adds the experience of management of recurrent HS in a patient in the same delivery.
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