Development of Harlequin Syndrome following placement of thoracic epidural anesthesia in a pediatric patient undergoing Nuss procedure.

• Type of Material: Article
• Authors: Ashley LeFevre, Emory University; Gregory Schnepper, University of South Carolina
• Language: English
• Date: 2017-09-04
• Publisher: Wiley
• Publication Version: Final Published Version
• Copyright Statement: © 2017 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1002/ccr3.1097
• Title of Journal or Parent Work: Clinical Case Reports
• ISSN: 2050-0904
• Volume: 5
• Issue: 9
• Start Page: 1523
• End Page: 1525
• Grant/Funding Information: No funding required.
• Keywords: thoracic epidural; pectus excavatum; Harlequin Syndrome; Nuss procedure; unilateral facial flushing
• Research Categories: Health Sciences, General

Abstract

We report the development of Harlequin Syndrome following thoracic epidural placement in a pediatric patient. Unilateral facial flushing with contralateral pallor and anhidrosis is the clinical presentation. This syndrome is typically benign. When related to regional anesthesia, treatment involves reducing the local anesthetic infusion or stopping it altogether.