Horner’s Syndrome after Superficial Cervical Plexus Block

Ultrasound-guided nerve blocks are becoming more essential for the management of acute pain in the emergency department (ED). With increased block frequency comes unexpected complications that require prompt recognition and treatment. The superficial cervical plexus block (SCPB) has been recently de...

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Detalles Bibliográficos
Autores principales: Flores, Stefan, Riguzzi, Christine, Herring, Andrew A., Nagdev, Arun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2015
Materias:
Diagnostic Acumen
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427219/
https://www.ncbi.nlm.nih.gov/pubmed/25987922
http://dx.doi.org/10.5811/westjem.2015.2.25336
Descripción
Sumario:Ultrasound-guided nerve blocks are becoming more essential for the management of acute pain in the emergency department (ED). With increased block frequency comes unexpected complications that require prompt recognition and treatment. The superficial cervical plexus block (SCPB) has been recently described as a method for ED management of clavicle fracture pain. Horner’s syndrome (HS) is a rare and self-limiting complication of regional anesthesia in neck region such as brachial and cervical plexus blocks. Herein we describe the first reported case of a HS after an ultrasound-guided SCPB performed in the ED and discuss the complex anatomy of the neck that contributes to the occurrence of this complication.

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