ナガサカ　ヤスコ   NAGASAKA Yasuko   長坂　安子    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Harlequin Syndrome After Thoracic Paravertebral Block.
掲載誌名	正式名：A & A case reports 略　 称：A A Case Rep ISSNコード：23257237/23257237
掲載区分	国外
巻・号・頁	6(3),pp.48-51
国際共著	国際共著
著者・共著者	Nagasaka Yasuko, Wasner Gunnar, Sharma Balram, Fleischmann Katharine
担当区分	筆頭著者
発行年月	2016/02
概要	Harlequin syndrome is characterized by the sudden onset of unilateral facial flushing and sweating, often preceded by exercise, excessive heat, or, rarely, regional anesthesia. Although the exact mechanism remains unclear, it is often referred to as transient or permanent interruption of the sympathetic nervous system. We present a case of Harlequin syndrome without Horner syndrome in a patient with unilateral right-sided facial flushing that started shortly after a left-sided thoracic paravertebral nerve block for a mastectomy. We discuss the interruption of the sympathetic and parasympathetic nervous system and the levels of spinal nerve block associated with a thoracic paravertebral nerve block.
DOI	10.1213/XAA.0000000000000231
PMID	26513674