Horner's Syndrome as a Complication of Ultrasound-Guided Central Cannulation: A Case Report

• Author(s): Silva, L ; Junqueira, AF ; Pato, R ; Farraposo, S ; Cruz, AR ; Rocha, T
• Date: 2022
• Persistent ID: http://hdl.handle.net/10400.17/4316
• Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
• Subject(s): CHLC ANS; Catheterization; Horner’s Syndrome; Internal Jugular Vein; Obstetrics Anesthesia; Postpartum; Ptosis
• Document Type: Journal article
• Language: English
• Contributor(s): Repositório da Unidade Local de Saúde São José

Description

Cannulation of the internal jugular vein is often necessary for the management of critically ill patients. Despite being a very common procedure and performed more and more safely, several complications still occur. Horner's Syndrome (HS) is one of those complications described before the use of ultrasound as a method of guidance. HS is caused by functional interruption of sympathetic nerve supply to the eye, leading to a classic triad of ipsilateral ptosis, miosis, and anhidrosis. We present the case of a patient, in need of emergent surgery to control the hemorrhagic focus after delivery, with a transient HS secondary to internal jugular vein cannulation under real-time ultrasound guidance.