Meniere's Attack after Stellate Ganglion Block: A case report.
10.3344/kjp.2005.18.2.232
- Author:
Sin Young KANG
1
;
Dong Yeon KIM
;
Rack Kyung CHUNG
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Ewha Womans University, Seoul, Korea. simplyksy@ewhain.net
- Publication Type:Case Report
- Keywords:
Meniere's disease;
stellate ganglion block
- MeSH:
Adult;
Anxiety;
Dihydroergotamine;
Female;
Hearing Loss, Sudden;
Humans;
Meniere Disease;
Mepivacaine;
Nausea;
Stellate Ganglion*;
Tinnitus;
Vertigo;
Vomiting
- From:The Korean Journal of Pain
2005;18(2):232-234
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Stellate ganglion block (SGB) is one of the most widely used treatment modalities for a broad range of disorders, including otolaryngologic indications such as Meniere's disease and sudden hearing loss. We present a case of a vertiginous attack following SGB for the management of Meniere's disease. A 31-year-old female, suffering from Meniere's disease, underwent repeated right side SGBs with 6 ml of 1% mepivacaine after negative aspiration tests for blood. The eleventh block was performed in the usual manner. Several seconds after injection, she showed agitation, anxiety, nystagmus, and left-sided tinnitus. Two minutes later, her tinnitus and nystagmus were resolved. Fifteen minutes after injection, she experienced acute onset of severe vertigo, nausea, and vomiting. However, her symptoms were gradually alleviated within two hours.
