胸部硬膜外麻酔によりHorner症候群を呈した1例

A Case of Horner’s Syndrome Caused by Thoracic Epidural Anesthesia

横田 真優子

三好 寛二

中村 隆治

近藤 隆志

加藤 貴大

安田 季道

佐伯 昇

濱田 宏

河本 昌志

麻酔と蘇生

Ansesthesia and Resuscitation

Horner’s syndrome is a syndrome characterized by miosis, eyelid ptosis, narrowing of the eyelids and ocular depression. Diagnosis of the causative disease is important because it may accompany fatal diseases such as brain stem infarction and bleeding, spinal hematoma and neoplastic lesion and internal carotid artery dissection. A woman in her 60s. Left lung lower lobectomy was performed with thoracoscopy assistance for left lung cancer. General anesthesia with epidural anesthesia was performed with propofol and remifentanil. The epidural catheter was punctured from the sixth seventh thoracic vertebrae. Horner’s syndrome occurred on 2 days postoperatively. After reducing epidural anesthesia, symptoms improved. From this, epidural anesthesia proved to be the cause of Horner’s syndrome. Epidural anesthesia can rarely cause Horner’s syndrome.

胸部硬膜外麻酔

Horner 症候群

胸部外科手術

thoracic epidural anesthesia

Horner syndrome

thoracic surgery

医学 [ 490 ]

日本語

広島麻酔医学会

[ISSN] 0385-1664

[NCID] AN00232251