Tülay HOŞTEN, Yavuz GÜRKAN, Mine SOLAK, Kamil TOKER

Lateral sagittal infraklavikular blok sonrası gelişen Horner Sendromu olgusu

Horner sendromu cerrahi, ilaçlar (çoğunlukla yüksek konsantrasyonda lokal anestezikler) bölgesel bası (hematom veya tümör) ya da peroperatif uygunsuz hasta pozisyonu sonucu aynı taraftaki servikal sempatik zincirin (stellat gangliyon) felci sonucu oluşur. Horner Sendromu brakiyal pleksusunun interskalen bloğuyla % 100 oranında görülür ve aynı zamanda diğer supraklavikular blok tiplerinde de görülebilir. Horner sendromu önemli klinik sonuçları olmaması nedeniyle istenmeyen bir yan etki olarak tanımlanabilir. Bu nedenle anesteziyolojistler bu sendromdan haberdar olmalı ve görüldüğü takdirde hastaya güven verilerek yakından takip edilmelidir. Biz bu yazımızda yeni tanımlanan bir teknik olan lateral sagittal infraklavikular blok (LSİB) sonrası gelişen Horner sendromu vakasını sunduk. Anahtar kelimeler: Horner sendromu, brakiyal pleksus bloğu, lateral sagittal infraklavikular blok.

Anahtar Kelimeler:

Erişkin, Brakial pleksus, Klavikula, Horner sendromu, İntraoperatif komplikasyonlar, Erkek

A case of Horner’s Syndrome following lateral sagittal infraclavicular block

Horner’s syndrome results from paralysis of the ipsilateral sympathetic cervical chain (stellate ganglion) caused by surgery, drugs (mainly high concentrations of local anesthetics), local compression (hematoma or tumor), or inadequate perioperative positioning of the patient. It occurs in 100 % of the patients with an interscalene block of the brachial plexus and can also occur in patients with other types of supraclavicular blocks. Horner's syndrome may be described as an unpleasant side effect because it has no clinical consequences in itself. For this reason anesthesiologists should be aware of this syndrome and if it occurs patients should be reassured and monitored closely. In this case report, we presented a case of Horner’s Syndrome following lateral sagittal infraclavicular block (LSIB), a newly described technique. Keywords: Horner’s syndrome, brachial plexus block, lateral sagittal infraclavicular block.

Keywords:

Adult, Brachial Plexus, Clavicle, Horner Syndrome, Intraoperative Complications, Male,

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