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Harlequin syndrome as a complication of epidural anaesthesia in an infant: Do adjunct medications play a role?

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Harlequin syndrome is a rare complication related to blockade of facial sympathetic input that can occur secondary to thoracic epidural anaesthesia.[3] This syndrome causes unilateral flushing, hyperhidrosis and occasional ipsilateral… Click to show full abstract

Harlequin syndrome is a rare complication related to blockade of facial sympathetic input that can occur secondary to thoracic epidural anaesthesia.[3] This syndrome causes unilateral flushing, hyperhidrosis and occasional ipsilateral pupillary miosis. This generally resolves after cessation of local anaesthetic infusion through the epidural catheter. Despite the benign nature of this syndrome, the profound clinical appearance can lead to distress for patients and their families.

Keywords: anaesthesia; syndrome complication; complication epidural; epidural anaesthesia; harlequin syndrome

Journal Title: Indian Journal of Anaesthesia
Year Published: 2022

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