Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean section

Jonathan A. Anson; Patrick M. McQuillan

doi:10.4103/0970-9185.130073

Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean section

Jonathan A. Anson, Patrick M. McQuillan

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

A healthy 21-year-old primigravida presented for elective cesarean section. At 45 min after intrathecal (IT) injection of bupivacaine, morphine and fentanyl she developed dysphagia, right sided facial droop, ptosis and ulnar nerve weakness. This constellation of signs and symptoms resolved 2 h later. Based on the time course and laterality of her symptoms, as well as the pharmacologic properties of spinal opioids, we believe her symptoms can be attributed to the IT administration of fentanyl.

Original language	English (US)
Pages (from-to)	273-275
Number of pages	3
Journal	Journal of Anaesthesiology Clinical Pharmacology
Volume	30
Issue number	2
DOIs	https://doi.org/10.4103/0970-9185.130073
State	Published - 2014

All Science Journal Classification (ASJC) codes

Pharmacology, Toxicology and Pharmaceutics(all)
Pharmacology (medical)
Anesthesiology and Pain Medicine

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10.4103/0970-9185.130073

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abstract = "A healthy 21-year-old primigravida presented for elective cesarean section. At 45 min after intrathecal (IT) injection of bupivacaine, morphine and fentanyl she developed dysphagia, right sided facial droop, ptosis and ulnar nerve weakness. This constellation of signs and symptoms resolved 2 h later. Based on the time course and laterality of her symptoms, as well as the pharmacologic properties of spinal opioids, we believe her symptoms can be attributed to the IT administration of fentanyl.",

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AB - A healthy 21-year-old primigravida presented for elective cesarean section. At 45 min after intrathecal (IT) injection of bupivacaine, morphine and fentanyl she developed dysphagia, right sided facial droop, ptosis and ulnar nerve weakness. This constellation of signs and symptoms resolved 2 h later. Based on the time course and laterality of her symptoms, as well as the pharmacologic properties of spinal opioids, we believe her symptoms can be attributed to the IT administration of fentanyl.

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Transient unilateral brachial plexopathy and partial Horner′s syndrome following spinal anesthesia for cesarean section

Abstract

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