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Case Report

RMJ. 2014; 39(1): 111-112


Horner’s syndrome: A rare complication of ultrasound-guided infraclavicular brachial plexus block

Gwang Cheol Go, Ki Hwa Lee, Yong Han Kim, Sang Yoon Jeon, Sang Eun Lee.



Abstract
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Horner’s syndrome is a relatively rare complication of infraclavicular brachial plexus block than supraclavicular and interscalene brachial plexus block. We performed ultrasound-guided infraclavicular brachial plexus block with a mixture containing 20 ml of 0.5% levobupivacaine HCl with 5 ㎍/ml of epinephrine. 30 minutes after brachial plexus block, Horner’s syndrome appeared. It leads to patient’s anxiety, dissatisfaction and diaphragmatic involvement. We report the occurrence of Horner’s syndrome following a US-guided infraclavicular brachial plexus block performed by physicians with technical experience.

Key words: Brachial plexus, Horner’s syndrome, Ultrasound.





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