Unilateral Horner’s Syndrome in a Normal BMI Patient Following Labour Epidural Analgesia: A Case Report

Horner's syndrome is one of the rare complications of lumbar epidural during labour analgesia.This syndrome is usually a sequela of intrathecal anaesthesia, stellate ganglion, cervical or brachial plexus block in anaesthesia, which spontaneously subsides without any permanent neurological deficit.An inadvertent cephalad extension of local anaesthetic used for epidural is implicated in the occurrence of this syndrome.We demonstrate a case report of this unusual syndrome following labour epidural in a 32-year-old woman with a normal BMI without any major medical comorbidity.Timely discontinuation of epidural administration helped to regress her symptoms.A careful assessment was done to rule out a subdural catheter migration and feto-maternal compromise.We discussed different possibilities for the rare consequence and alternative methods to relieve pain while the patient was in active labour.