Evidence map›Paper›PMID 40013175›Full record

ArticleCureus2025

Delayed Presentation of Horner's and Harlequin-Like Symptoms Following Interscalene Peripheral Nerve Catheter Placement.

Nicholas Wu, Gabrielle Statzer, Akshay Thontakudi, Hamed Sadeghipour

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nicholas WuAnesthesiology and Critical Care, Sisters of St. Mary (SSM) Health Saint Louis University Hospital, Saint Louis, USA.
Gabrielle StatzerAnesthesiology and Critical Care, Sisters of St. Mary (SSM) Health Saint Louis University Hospital, Saint Louis, USA.
Akshay ThontakudiAnesthesiology and Critical Care, Sisters of St. Mary (SSM) Health Saint Louis University Hospital, Saint Louis, USA.
Hamed SadeghipourAnesthesiology and Critical Care, Sisters of St. Mary (SSM) Health Saint Louis University Hospital, Saint Louis, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interscalene peripheral nerve catheters are a commonly performed procedure often used to provide continuous outpatient analgesia following orthopedic procedures. In this case report, we present an interesting case of a patient who received an interscalene catheter following an orthopedic procedure and demonstrated an atypical presentation of combined partial Horner's and Harlequin-like syndromes evolving more than 36 hours after block placement. Although several case reports in the literature exist describing incidents in which interscalene catheter migration has led to the late onset of complications, it has never before been observed with either this degree of delay or this combination of symptoms. This case emphasizes the importance of recognizing irregular presentations of interscalene block complications secondary to catheter migration.

Indexed as

catheter migrationdelayed-onset horner’s syndromeharlequin syndromeinterscalene blocklocal anesthetic

Identifiers

PMID40013175
PMCPMC11864166

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.