The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Prolonged Horner's Syndrome following Stellate Ganglion Block -A case report-

성상신경절 차단 후 발생한 지속적 호너 증후군 -증례 보고-

  • Lee, Ji Yeon (Department of Anesthesiology and Pain Medicine, Inha University College of Medicine) ;
  • Kim, Tae Jung (Department of Anesthesiology and Pain Medicine, Inha University College of Medicine) ;
  • Shin, Helen Kisin (Department of Anesthesiology and Pain Medicine, Inha University College of Medicine) ;
  • Lim, Hyun Kyoung (Department of Anesthesiology and Pain Medicine, Inha University College of Medicine) ;
  • Chung, Chong Kweon (Department of Anesthesiology and Pain Medicine, Inha University College of Medicine) ;
  • Song, Jang Ho (Department of Anesthesiology and Pain Medicine, Inha University College of Medicine) ;
  • Han, Jeong Uk (Department of Anesthesiology and Pain Medicine, Inha University College of Medicine) ;
  • Cha, Young Deog (Department of Anesthesiology and Pain Medicine, Inha University College of Medicine)
  • 이지연 (인하대학교 의과대학 마취통증의학교실) ;
  • 김태정 (인하대학교 의과대학 마취통증의학교실) ;
  • 신혜란 (인하대학교 의과대학 마취통증의학교실) ;
  • 임현경 (인하대학교 의과대학 마취통증의학교실) ;
  • 정종권 (인하대학교 의과대학 마취통증의학교실) ;
  • 송장호 (인하대학교 의과대학 마취통증의학교실) ;
  • 한정욱 (인하대학교 의과대학 마취통증의학교실) ;
  • 차영덕 (인하대학교 의과대학 마취통증의학교실)
  • Received : 2005.03.31
  • Accepted : 2005.06.10
  • Published : 2005.06.30
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Abstract

Stellate ganglion block, due to its wide range of indications, is the most widely practiced procedure in pain clinics. We experienced the case of a 44-year-old female patient who developed prolonged Horner's syndrome after the use of stellate ganglion block. The patient recovered spontaneously from the Horner's syndrome after 12 months. If Horner's syndrome should occur, its etiology will need to be assessed. It is also important to assure the patient they will recover from the complication within a year.

Keywords

References

  1. Jalaludin MA: Methylcobalamin treatment of Bell's palsy. Methods Find Exp Clin Pharmacol 1995; 17: 539-44
  2. Wakusugi B: New application of stellate ganglion block. J Korean Pain Soc 1991; 4: 1-7
  3. Uchida K, Tateda T, Hino H: Novel mechanism of action hypothesized for stellate ganglion block related to melatonin. Med Hypotheses 2002; 59: 446-9
  4. Choi YG, Song JH, Lim HK, Han JW, Lee SK, Cha YD, et al: The effects of stellate ganglion block on the level of plasma ACTH and cortisol. J Korean Pain Soc 2002; 15: 58-62
  5. Yokoyama M, Nakatsuka H, Itano Y, Hirakawa M: Stellate ganglion block modifies the distribution of lymphocyte subsets and natural-killer cell activity. Anesthesiology 2000; 92: 109-15
  6. Fink T, Weihe E: Multiple neuropeptides in nerves supplying mammalian lymph nodes: messenger candidates for sensory and autonomic neuroimmunornodulation? Neurosci Lett 1988; 90: 39-44
  7. Walton KA, Buono LM: Horner syndrome. Curr Opin Ophrhairnol 2003; 14: 357-63
  8. Giles CL, Henderson JW: Homer's syndrome: An analysis of 216 cases. Am J Ophthalmol 1958; 46: 289-96
  9. Maloney WF, Younge BR, Moyer NJ: Evaluation of the causes and accuracy of pharmacologic localization in Homer's syndrome. Am J Ophthalmol 1980; 90: 394-402
  10. Fleishman JA, Bullock JD, Rosset JS, Beck RW: Iatrogenic Homer's syndrome secondary to chest tube thoracostomy. J Clin Neuroophthalmol 1983; 3: 205-10
  11. Taskapan H, Oymak 0, Dogukan A, Utas C: Homer's syndrome secondary to internal jugular catheterization. Clin Nephrol 2001; 56: 78-80
  12. Teich SA, Halprin SL, Tay S: Horner's syndrome secondary to Swan-Ganz catheterization. Am J Med 1985; 78: 168-70
  13. Ekatodramis G, Macaire P, Borgeat A: Prolonged Homer syndrome due to neck hematoma after continuous interscalene block. Anesthesiology 2001; 95: 801-3
  14. Biousse V, Guevara RA, Newman NJ: Transient Homer's syndrome after lumbar epidural anesthesia. Neurology 1998; 51: 1473-5
  15. Jan BH, Kim JH, Gang HS: Persistent Homer's syndrome following stellate ganglion block. J Korean Pain Soc 1995; 8: 367-70
  16. Heo GJ, Joo JC: Prolonged Homer's syndrome following stellate ganglion block. J Korean Pain Soc 1996; 9: 248-50
  17. Sukhani R, Barclay J, Aasen M: Prolonged Homer's syndrome after interscalene block: a management dilemma. Anesth Analg 1994; 79: 601-3
  18. Winnie AP, Ramamurthy S, Durrani Z, Radonjic R, Shaker MH: Pharmacologic reversal of Homer's syndrome following stellate ganglion block. Anesthesiology 1974; 41: 615-7
  19. Shannon S, Meadow S, Horowitz SH: Are drug therapies effective in treating Bell's palsy? J Fam Pract 2003; 52: 156-9
  20. McLachlan EM: The formation of synapses in mammalian sympathetic ganglia reinnervared with preganglionic or somatic nerves. J Physiol 1974; 237: 217-42