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Horner's syndrome and brachial paresis as a complication of lumbar sympathetic block: a case report

Overview of attention for article published in Arquivos de Neuro-Psiquiatria, December 2010
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Title
Horner's syndrome and brachial paresis as a complication of lumbar sympathetic block: a case report
Published in
Arquivos de Neuro-Psiquiatria, December 2010
DOI 10.1590/s0004-282x1995000500022
Pubmed ID
Authors

Pa. Maranhão-Filho, M.A.O. Martins, H.F. Lopes

Abstract

An unusual case of Horner's syndrome secondary to a sympathetic block in a patient with chronic adhesive arachnoiditis (CAA) is described. The patient, a 40-year-old white woman, presented with spastic paraplegia, hyperreflexia, bilateral Babinski sign, superficial and deep sensitive hypoaesthesia at the T4 level, in addition to bladder and rectal dysfunction since she was 32. At age of 38 she complained of excessive daily sweating below the T4 level, mostly at night. A 4mL 0.5% bupivacaine lumbar sympathetic block was performed. Within 15 min a right brachial paresis and an ipsilateral Horner's syndrome were noted. Speculatively, an abnormal cephalic spread of the anaesthesic due to a putative erratic space secondary to the CAA may justify the clinical picture even using a relatively small amount of anaesthesic (4 mL).

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 4 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 4 100%

Demographic breakdown

Readers by professional status Count As %
Professor > Associate Professor 1 25%
Other 1 25%
Student > Postgraduate 1 25%
Student > Doctoral Student 1 25%
Readers by discipline Count As %
Medicine and Dentistry 3 75%
Unknown 1 25%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 February 2018.
All research outputs
#20,656,820
of 25,374,647 outputs
Outputs from Arquivos de Neuro-Psiquiatria
#997
of 1,369 outputs
Outputs of similar age
#171,599
of 191,061 outputs
Outputs of similar age from Arquivos de Neuro-Psiquiatria
#30
of 35 outputs
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