{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,14]],"date-time":"2025-06-14T12:02:37Z","timestamp":1749902557602,"version":"3.37.3"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Anesthesiology"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. Unilateral sensory and motor blockade is known to occur with epidural anesthesia but is rarely reported in children. The differential diagnosis should include the presence of a midline epidural septum.<jats:italic>Case Report<\/jats:italic>. We describe a case of a 16-year-old adolescent who developed repeated complete unilateral extensive epidural sensory and motor blockade with Horner\u2019s syndrome after thoracic epidural catheter placement. This unusual presentation of complete hemibody neural blockade has not been reported in the pediatric population. Maneuvers to improve contralateral uniform neural blockade were unsuccessful. An epidurogram was performed to ascertain the correct location of the catheter within the epidural space and presence of sagittal compartmentalization.<jats:italic>Conclusion<\/jats:italic>. This case report highlights a less frequently reported reason for unilateral sensory and motor blockade with epidural anesthesia in children. The presence of a midline epidural septum should be considered in the differential diagnosis of unilateral epidural blockade.<\/jats:p>","DOI":"10.1155\/2012\/732584","type":"journal-article","created":{"date-parts":[[2012,1,30]],"date-time":"2012-01-30T16:00:15Z","timestamp":1327939215000},"page":"1-3","source":"Crossref","is-referenced-by-count":2,"title":["Unilateral Hemiparesis with Thoracic Epidural in an Adolescent"],"prefix":"10.1155","volume":"2012","author":[{"given":"Rosalie F.","family":"Tassone","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, Boston, MA 02115, USA"},{"name":"Division of Pediatric Anesthesiology, Department of Anesthesiology, University of Illinois Medical Center, 1740 West Taylor Street, Chicago, IL 60612, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3761-1097","authenticated-orcid":true,"given":"Christian","family":"Seefelder","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navil F.","family":"Sethna","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.1999.00357.x"},{"issue":"3","key":"2","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1007\/BF00337551","volume":"11","year":"1976","journal-title":"Neuroradiology"},{"issue":"3","key":"3","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1213\/00000539-199609000-00013","volume":"83","year":"1996","journal-title":"Anesthesia and Analgesia"},{"issue":"4","key":"4","first-page":"427","volume":"71","year":"1990","journal-title":"Anesthesia and Analgesia"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199904000-00006"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8537(02)00055-X"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199712000-00039"},{"issue":"6","key":"8","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1007\/BF03005424","volume":"36","year":"1989","journal-title":"Canadian Journal of Anaesthesia"},{"issue":"7","key":"9","first-page":"747","volume":"65","year":"1986","journal-title":"Anesthesia and Analgesia"},{"issue":"2","key":"10","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/00000542-198802000-00007","volume":"68","year":"1988","journal-title":"Anesthesiology"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.1999.00412.x"},{"issue":"3","key":"12","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1097\/00000542-198509000-00016","volume":"63","year":"1985","journal-title":"Anesthesiology"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000143562.88730.0C"},{"volume-title":"Epidural neural blockade","year":"1998","key":"14"}],"container-title":["Case Reports in Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cria\/2012\/732584.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cria\/2012\/732584.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cria\/2012\/732584.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T09:31:24Z","timestamp":1497951084000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cria\/2012\/732584\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":14,"alternative-id":["732584","732584"],"URL":"https:\/\/doi.org\/10.1155\/2012\/732584","relation":{},"ISSN":["2090-6382","2090-6390"],"issn-type":[{"type":"print","value":"2090-6382"},{"type":"electronic","value":"2090-6390"}],"subject":[],"published":{"date-parts":[[2012]]}}}