• The Korean Journal of Pain
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• 제10권2호
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• pp.285-290
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• 1997

Horner's syndrome is a well-recognized complication of regional analgesia of neck and shoulder region, and not often a complication of lumbar or low thoracic epidural block. Recently we experienced right Horner's syndrome accompanying paralysis of right upper extremity following lumbar epidural block in for an obstetric patient. Epidurography and MRI was performed to clarify the cause of unilateral high epidural block and cervical sympathetic block. Radiologic study demonstrated a loop formation of the epidural catheter and tip of catheter was located in right anterior epidural spaced(L1-2). The initial epidurogram revealed unilateral spreading of dye in the cervical region in right epidural space. A second epidurogram, 10 minutes following, showed dye filling in left epidural space, however spread of dye in left side was limited to lumbar and low thoracic region. We concluded the most probable cause of this unilateral high epidural block was due to misplacement of the catheter into the anterior epidural space.

• 한국임상수의학회지
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• 제24권3호
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• pp.441-443
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• 2007

Horner's syndrome is a group of clinical signs that results from interference with the sympathetic innervation of the globe and adnexa. Three dogs were presented with unilateral ptosis, miosis, enophthalmos and protrusion of the third eyelid. There were no other clinical signs on physical and neurological examination. On ophthalmic examination, the symptomatic eyes were diagnosed as Horner's syndrome. In order to localize the site of the lesion, pharmacological testing was performed through assessment of ocular response to the topical administration of 10% phenylephrine and clinical signs were resolved within 20 minutes. The pharmacological testing suggested that the deficit could be at the postganglionic neuron. Total resolution of clinical signs was observed within 6 months after their initial appearance without any treatment.

• Clinical and Experimental Pediatrics
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• 제59권sup1호
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• pp.32-36
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• 2016

Joubert syndrome (JS) is characterized by the "molar tooth sign" (MTS) with cerebellar vermis agenesis, episodic hyperpnea, abnormal eye movements, and hypotonia. Ocular and oculomotor abnormalities have been observed; however, Horner syndrome (HS) has not been documented in children with JS. We present the case of a 2-month-old boy having ocular abnormalities with bilateral nystagmus, left-dominant bilateral ptosis, and unilateral miosis and enophthalmos of the left eye, which were compatible with HS. Brain magnetic resonance imaging (MRI) revealed the presence of the MTS. Neck MRI showed no definite lesion or mass around the cervical sympathetic chain. His global development was delayed. He underwent ophthalmologic surgery, and showed some improvement in his ptosis. To the best of our knowledge, the association of HS with JS has not yet been described. We suggest that early neuroimaging should be considered for neonates or young infants with diverse eye abnormalities to evaluate the underlying etiology.

• The Korean Journal of Pain
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• 제8권2호
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• pp.374-377
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• 1995

Percutaneous neurolysis of upper thoracic sympathetic ganglion was performed by simultaneously injecting 3 ml of pure alcohol into the $T_2$ and $T_3$ levels after testng with same amount of local anesthetics on the same sites. We experienced poor sympatholytic effect or intercostal neuritis and Horner's Syndrome as the result of complication of thoracic sympathetic ganglion block. In Case 1, in spite of the good testing result, neurolytic block effect was poor. In Case 2, intercostal neuritis occurred, but neuralgia subsided within 3 weeks. In Case 3, Horner's Syndrome occurred for 1 day. To increase the success rate of block and decrease the incidence of complications, good radio-opaque dye appearance and good test block effect should be obtained.

• Journal of Chest Surgery
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• 제43권6호
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• pp.816-819
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• 2010

호너 증후군은 폐쇄식 흉강삽관술 후 발생할 수 있는 드문 합병증으로 이를 치험하여 보고하고자 한다. 17세 여자 환자로 2번째 발생한 좌측 기흉으로 폐쇄식 흉강삽관술 시행 후 수술 위해 입원하였다. 입원 후 우측 중이염 발생으로 항생제 치료 중 폐쇄식 흉강삽관술 후 3일째 흉관 삽입한 동측 동공 축동과 눈꺼풀 처짐을 증상으로 하는 호너 증후군이 발생하였고, 즉시 흉관을 2~3 cm 잡아 빼서 흉관의 위치를 교정하였다. 폐쇄식 흉강삽관술 후 5일째 기흉에 대한 낭포 절제술과 기계적 흉막 유착술을 시행하였고, 특별한 문제 없이 수술 후 7일에 퇴원하였다. 수술 후 호너 증후군으로 인한 증상은 점차 호전되었고, 2달만에 완전히 회복하였다.

• Journal of Yeungnam Medical Science
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• 제31권2호
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• pp.135-138
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• 2014

A 34-year-old female was suffered from pain and numbness of right arm for 2 months after undergoing a thoracoscopic procedure for a posterior mediastinal mass that was diagnosed as neurilemmoma. The patient was diagnosed as a complex regional pain syndrome type 2 with brachial plexopathy developed during thoracoscopic excision of posterior mediastinal mass, and stellate ganglion block (SGB) with 0.2% ropivacaine 10 mL was performed every 3-4 days. The patient revealed slightly prolonged blepharoptosis as Horner syndrome accompanied after every SGB and recovered. However, following the 23rd SGB, the blepharoptosis persisted and patient was recovered spontaneously from blepharoptosis after about 12 months. The possibility that the persistent blepharoptosis might be caused by brachial plexopathy related to patient's pathology or surgical manipulation and/or repeated SGB. If Horner syndrome occurs, its etiology should be assessed, and it would be necessary to explain and to assure the patient the possibility of recovery spontaneously from the complication within a year, without any sequelae.

• 한국임상수의학회지
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• 제24권2호
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• pp.214-217
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• 2007

약 2개월령(個月齡)의 잡종 암컷 고양이가 영창동물병원(永昌動物病院)에 내원하였다. 1차(次) 진료시(診療時) 우측 눈의 축동(縮瞳) 및 순막 돌출(瞬膜 突出)이 인정되었으며, 또한 좌측 눈의 경도의 축동이 인정되어, 본 환축(患畜)은 고양이 Horner's syndrome으로 진단(診斷)되었다. 본 환축(患畜)에 대하여 안침(眼針) (상초 영역(上焦 領域), 10분간(分間)) 및 dexamethasone 약침(藥鍼)(0.2 ml/혈위: BL 01-정명(睛明) BL02-찬죽(纘竹) 및 ST01-승읍(承泣))을 각각(各各) 실시(實施)하였다. 1차 치료 후, 축동(縮瞳) 및 순막돌출(瞬膜突出)이 놀랍게도 소실되었다. 2차 진료시(1차 치료 후 1일)확인 결과, 눈의 소견은 정상 상태를 유지하고 있었다. 따라서 본(本) 증례(症例)는 침치료(鍼治療)에 양호(良好)한 반응(反應)을 나타낸 고양이 Horner's syndrome의 증례(症例)였다.

• The Korean Journal of Pain
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• 제2권2호
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• pp.198-202
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• 1989

우측 암면부, 특히 안구주위에 심한 통증을 호소하고 안검하수와 더불어 우측안구의 완전마비를 동반한 선천성 난장이 환자를 경험하였던 바 이는 신경방사선과학적소견, 검사실 검사소견, 전신적 corticosteroid치료에 대한 반응이 전형적인 Tolosa-Hunt Syndrome과는 다른 비전형적인 Tolosa-Hunt Syndrome이었기에 문헌적 고찰과 함께 보고하는 바이다.

• 동의생리병리학회지
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• 제19권1호
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• pp.284-288
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• 2005

The main symptoms of the Wallenberg's syndrome are ataxia of gait, clumsiness of ipsilateral limbs, nausea and vomiting, vertigo, visual disturbance such as difficulty in focusing blurred vision diplopia, numbness, dysphagia, hoarseness, hiccup, nystagmus, Horner's syndrome. The purpose of this paper is to report the patient with the Wallenberg's syndrome who was improved by oriental medical treatment. The vertigo of the Wallenberg's syndrome is classed as the pungwhadam(風火痰) and we prescribed Cheonghunhwadam-tang. The intensity and frequency of vertigo wewe dramayically improved.

• 동의생리병리학회지
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• 제24권3호
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• pp.512-518
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• 2010

The purpose of this paper is to report the patient with lateral medullary syndrome due to occlusion of vertebral artery who was improved by oriental medical treatment. The patient was admitted on May 15, 2009 and remained until May 29, 2009. He was treated with herbal medicine, acupuncture, moxibustion, cupping and physical therapy. After the treatment, the symptoms(vertigo, diplopia, gait ataxia, sensory loss numbness, Horner's syndrome, etc) improved. This result suggests that oriental medicine can be an effective treatment for a patient with lateral medullary syndrome due to occlusion of vertebral artery. But more clinical case reports are needed.