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Transient Horner's syndrome in horses following cervical plexus local anesthesia.

Veterinary Surgery 2023 November 28
OBJECTIVE: To report the development of transient Horner's syndrome in horses following local anesthesia of the cervical plexus.

ANIMALS: A total of 37 horses.

STUDY DESIGN: Observational retrospective short case series.

METHODS: Medical records of cases undergoing ultrasound-guided cervical plexus anesthesia for standing prosthetic laryngoplasty at a single referral institution were evaluated (2019-2020).

RESULTS: Five of 37 horses (14%) developed transient signs of Horner's syndrome postoperatively. Obvious clinical signs began 2 to 5 h following local anesthesia and persisted for two to 4 h. Profuse unilateral sweating of the head and upper neck was the most apparent clinical sign.

CONCLUSION: Transient clinical signs of Horner's syndrome were seen following unilateral local anesthesia of the cervical plexus. Long-term adverse sequelae were not observed.

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