A healthy 21-year-old primigravida presented for elective cesarean section. At 45 min after intrathecal (IT) injection of bupivacaine, morphine and fentanyl she developed dysphagia, right sided facial droop, ptosis and ulnar nerve weakness. This constellation of signs and symptoms resolved 2 h later. Based on the time course and laterality of her symptoms, as well as the pharmacologic properties of spinal opioids, we believe her symptoms can be attributed to the IT administration of fentanyl.
Transient unilateral brachial plexopathy and partial Horner's syndrome following spinal anesthesia for cesarean section
Published 2014 in Journal of Anaesthesiology Clinical Pharmacology
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- Publication year
2014
- Venue
Journal of Anaesthesiology Clinical Pharmacology
- Publication date
2014-04-01
- Fields of study
Medicine
- Identifiers
- External record
- Source metadata
Semantic Scholar, PubMed
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