Objective. Unilateral sensory and motor blockade is known to occur with epidural anesthesia but is rarely reported in children. The\r\ndifferential diagnosis should include the presence of a midline epidural septum. Case Report. We describe a case of a 16-year-old\r\nadolescent who developed repeated complete unilateral extensive epidural sensory and motor blockade with Horner�s syndrome\r\nafter thoracic epidural catheter placement. This unusual presentation of complete hemibody neural blockade has not been reported\r\nin the pediatric population.Maneuvers to improve contralateral uniform neural blockade were unsuccessful. An epidurogram was\r\nperformed to ascertain the correct location of the catheter within the epidural space and presence of sagittal compartmentalization.\r\nConclusion. This case report highlights a less frequently reported reason for unilateral sensory and motor blockade with epidural\r\nanesthesia in children. The presence of a midline epidural septum should be considered in the differential diagnosis of unilateral\r\nepidural blockade.
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