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Korean J Anesthesiol > Volume 43(2); 2002 > Article
Korean Journal of Anesthesiology 2002;43(2):241-244.
DOI: https://doi.org/10.4097/kjae.2002.43.2.241   
Bilateral Horner's Syndrome after a Stellate Ganglion Block.
Kyung Joon Lim, Ye Jung Choi
Department of Anesthesiology, College of Medicine, Chosun University, Gwangju, Korea. kjlim@mail.chosun.ac.kr
Abstract
A stellate ganglion block (SGB) is a widely used procedure in the treatment of chronic pain syndromes in the facial and cervicobrachial regions as well as in nonpainful conditions. The complications of a stellate ganglion block include intra-arterial or intracranial injection of local anesthetic, Horner's syndrome, phrenic nerve block, recurrent laryngeal nerve paralysis, brachial plexus block, and pneumothorax. Horner's syndrome after the performance of a stellate ganglion block is a valuable sign of a successful block, but contralateral or bilateral Horner's syndrome remains an unusual and poorly explained phenomenon. We experienced a case of a 56 year-old female patient who had developed ipsilateral and contralateral Horner's syndrome after a stellate ganglion block. The ipsilateral Horner's syndrome was resolved after several hours but the contralateral side lasted for a week.


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