Ultrasound-guided superficial cervical plexus block for carotid endarterectomy in a patient with Lemierre syndrome: A case report.
10.17085/apm.2016.11.4.345
- Author:
Yun Suk CHOI
1
;
Youn Yi JO
;
Wol Seon JUNG
;
Mi Geum LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Jeju, Korea.
- Publication Type:Case Report
- Keywords:
Carotid endarterectomy;
Lemierre syndrome;
Superficial cervical plexus block
- MeSH:
Aged;
Analgesics;
Anti-Bacterial Agents;
Carotid Arteries;
Cervical Plexus Block*;
Cervical Plexus*;
Compensation and Redress;
Constriction, Pathologic;
Endarterectomy, Carotid*;
Female;
Humans;
Jugular Veins;
Lemierre Syndrome*;
Thrombophlebitis;
Thrombosis;
Ultrasonography
- From:Anesthesia and Pain Medicine
2016;11(4):345-348
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 70-year-old woman with an infectious thrombus in her left internal jugular vein (IJV) underwent carotid endarterectomy for stenosis and a highly movable plaque in her right carotid artery. She had been treated with antibiotics for four weeks before surgery due to Lemierre syndrome, a rare septic thrombophlebitis in the IJV secondary to an oropharyngeal infection. The right IJV was in a two-fold dilated state due to compensation for a thrombotic left IJV. Accordingly, superficial cervical plexus block was performed under ultrasound guidance to ensure safety and accuracy. During surgery, the alertness was maintained and the patient did not complain of pain in the absence of additional analgesics. No block-related complications were encountered. The authors report for the first time their regional anesthetic experiences in a patient with Lemierre syndrome.
