Abstract：
A 53-year-old woman underwent a thoracic epidural placement for a scheduled laparotomy. Postoperatively the patient had no appreciable epidural level after multiple epidural boluses and was noted to be severely hypotensive with right upper extremity weakness and numbness. She subsequently developed right-sided Horner\'s syndrome with worsening right upper extremity weakness and decreased sensation from C6 to T1. She regained full motor and sensory function in her right upper extremity with epidural removal. This unusual case raises awareness of the variability in the presentation of subdural spread and provides an example of an epidural complication that can mimic a cerebrovascular accident (CVA).
摘要：
一名53岁的妇女接受了胸部硬膜外放置，以进行预定的剖腹手术。术后患者在多次硬膜外注射后没有明显的硬膜外水平，并注意到严重低血压，右上肢无力和麻木。她随后发展为右侧霍纳综合征，右上肢无力恶化，感觉从C6下降到T1。通过硬膜外切除术，她恢复了右上肢的全部运动和感觉功能。这种不寻常的情况提高了人们对硬膜下扩散表现变异性的认识，并提供了可以模仿脑血管意外（CVA）的硬膜外并发症的例子。
