International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Volume 8 Issue 4
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Horner’s Syndrome Following Labor Epidural Analgesia: A Case Report

Author(s) Dr. Inri Ituriaga Villaluna, Carlo G. Catabijan
Country Philippines
Abstract This case highlights a prompt clinical diagnosis of Horner’s syndrome, a rare complication of epidural labor analgesia in a pregnant woman with no comorbidities and normal body mass index. The parturient developed unilateral ptosis and miosis three hours after epidural placement and initiation of Programmed Intermittent Epidural Bolus (PIEB). She remained hemodynamically stable with no other neurologic signs and symptoms.

The PIEB was immediately discontinued and the patient was reassured of her clinical condition. Gradual resolution of symptoms was noted after an hour and no additional interventions or diagnostic workup were required. However, the patient underwent emergency cesarean section for arrest of cervical dilatation. The same epidural was utilized to achieve surgical anesthesia using incremental doses of 2% lidocaine without manipulation of the epidural catheter. The patient remained hemodynamically stable during the emergency procedure, with no progression or recurrence of Horner’s syndrome.

In conclusion, Horner’s syndrome is a benign and self-limiting complication of epidural labor analgesia. Despite its occurrence, the epidural can still be utilized to provide surgical anesthesia with vigilant monitoring.
Keywords Horner’s syndrome, epidural, obstetrics, labor analgesia complication, case report
Field Medical / Pharmacy
Published In Volume 8, Issue 4, July-August 2026
Published On 2026-07-13
DOI https://doi.org/10.36948/ijfmr.2026.v08i04.83675
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CrossRef DOI prefix of IJFMR is 10.36948/ijfmr

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