{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:32:04Z","timestamp":1786739524935,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>A healthy 21-year-old primigravida presented for elective cesarean section. At 45 min after intrathecal (IT) injection of bupivacaine, morphine and fentanyl she developed dysphagia, right sided facial droop, ptosis and ulnar nerve weakness. This constellation of signs and symptoms resolved 2 h later. Based on the time course and laterality of her symptoms, as well as the pharmacologic properties of spinal opioids, we believe her symptoms can be attributed to the IT administration of fentanyl.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0970-9185.130073","type":"journal-article","created":{"date-parts":[[2014,4,4]],"date-time":"2014-04-04T03:46:08Z","timestamp":1396583168000},"page":"273-275","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Transient unilateral brachial plexopathy and partial Horner's syndrome following spinal anesthesia for cesarean section"],"prefix":"10.4103","volume":"30","author":[{"given":"Jonathan A","family":"Anson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick M","family":"McQuillan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-27-20260203","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1054\/ijoa.1999.0347","article-title":"Neurological complications in obstetric regional anaesthesia","volume":"9","author":"Loo","year":"2000","journal-title":"Int J Obstet Anesth"},{"key":"R2-27-20260203","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1213\/00000539-199701000-00018","article-title":"Densities of dextrose-free intrathecal local anesthetics, opioids, and combinations measured at 37 degrees C","volume":"84","author":"Richardson","year":"1997","journal-title":"Anesth Analg"},{"key":"R3-27-20260203","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1097\/00000542-200307000-00027","article-title":"Cephalad movement of morphine and fentanyl in humans after intrathecal injection","volume":"99","author":"Eisenach","year":"2003","journal-title":"Anesthesiology"},{"key":"R4-27-20260203","doi-asserted-by":"crossref","first-page":"1570","DOI":"10.1097\/00000542-199712000-00037","article-title":"Dysphagia with intrathecal fentanyl","volume":"87","author":"Currier","year":"1997","journal-title":"Anesthesiology"},{"key":"R5-27-20260203","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1097\/00000542-199511000-00028","article-title":"High sensory block after intrathecal sufentanil for labor analgesia","volume":"83","author":"Hamilton","year":"1995","journal-title":"Anesthesiology"},{"key":"R6-27-20260203","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1007\/s00540-011-1263-8","article-title":"Nystagmus caused by epidural fentanyl","volume":"26","author":"Lim","year":"2012","journal-title":"J Anesth"},{"key":"R7-27-20260203","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/S0952-8180(02)00406-3","article-title":"Horner's syndrome and trigeminal nerve palsy after lumbar epidural analgesia for labor and delivery","volume":"14","author":"Narouze","year":"2002","journal-title":"J Clin Anesth"},{"key":"R8-27-20260203","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1111\/j.1468-1331.2008.02120.x","article-title":"Transient Horner's syndrome during lumbar epidural anaesthesia","volume":"15","author":"Rohrer","year":"2008","journal-title":"Eur J Neurol"},{"key":"R9-27-20260203","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/S0952-8180(02)00399-9","article-title":"Unilateral Horner's syndrome and brachial plexus anesthesia during lumbar epidural blockade","volume":"14","author":"Holzman","year":"2002","journal-title":"J Clin Anesth"},{"key":"R10-27-20260203","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.1213\/00000539-198712000-00012","article-title":"Effects of fentanyl and sufentanil on peripheral mammalian nerves","volume":"66","author":"Gissen","year":"1987","journal-title":"Anesth Analg"},{"key":"R11-27-20260203","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.pain.2006.07.003","article-title":"Tramadol, fentanyl and sufentanil but not morphine block voltage-operated sodium channels","volume":"126","author":"Haeseler","year":"2006","journal-title":"Pain"}],"container-title":["Journal of Anaesthesiology Clinical Pharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01607275-201430020-00027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:29:41Z","timestamp":1786735781000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0970-9185.130073"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.4103\/0970-9185.130073","relation":{},"ISSN":["0970-9185"],"issn-type":[{"value":"0970-9185","type":"print"}],"subject":[],"published":{"date-parts":[[2014,4]]}}}