Harlequin Syndrome Related to Perioperative Intercostal Blockade: A Case Report.

IF 0.5

A&A Practice Pub Date : 2023-02-02 eCollection Date: 2023-02-01 DOI:10.1213/XAA.0000000000001664

Phillip Sperling, Julie Læbel, Allan Vestergaard Danielsen, Jannie Bisgaard

引用次数: 0

Abstract

Harlequin syndrome is a rare syndrome characterized by hemifacial flushing and altered facial sweating, with only a few case reports related to intercostal blockades. We present a case of Harlequin syndrome in a 65-year-old woman after intercostal blockade for video-assisted thoracoscopic lobectomy. One hour postoperatively, the patient became nauseated and presented with flushing of the right half of the face with a clear line of demarcation. Within 3 hours, the flushing disappeared. In this case report, we discuss Harlequin syndrome in relation to intercostal blockade and encourage clinicians to consider this syndrome in the differential diagnosis when encountering similar symptoms.

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围手术期肋间阻滞相关的丑角综合征1例报告。

丑角综合征是一种罕见的综合征，其特征是面部潮红和面部出汗改变，只有少数病例报告与肋间阻塞有关。我们报告一位65岁妇女，因胸腔镜肺叶切除术后肋间阻滞而出现丑角综合征。术后1小时，患者出现恶心，右半边脸红晕，界线清晰。3小时内，潮红消失。在本病例报告中，我们讨论了Harlequin综合征与肋间阻滞的关系，并鼓励临床医生在遇到类似症状时考虑该综合征的鉴别诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.