A Case of Benign Paroxysmal Positional Vertigo Treated with Stellate Ganglion Block

성상신경절 차단으로 치료했던 양성 발작성 현기증 1예

  • Choe, Huhn (Department of Anesthesiology Pain Clinic, Chonbuk National University Hospital) ;
  • Han, Young-Jin (Department of Anesthesiology Pain Clinic, Chonbuk National University Hospital)
  • 최훈 (전북대학교 의과대학 마취과학교실 통증치료실) ;
  • 한영진 (전북대학교 의과대학 마취과학교실 통증치료실)
  • Published : 1995.11.25

Abstract

A fourty-year-old housewife was admitted to the Department of Ear, Nose, and Throat from the emergency room, because of severe vertigo associated with positional changes of the head. Hallpike maneuver produced typical patterns of bilateral nystagmus consistent with benign paroxysmal positional vertigo(BPPV), and further geotropic rotatory nystagmus with positional change of the head in each direction. Direction of nystagmus reversed when the patients was repositioned upright. Particle repositioning maneuver was administered to her left ear but failed to relieve the severe dizziness associated with the head turning to the right. She was then referred to the patient received 27 SGB treatments and the patients was almost completely healed. It is unusual for the BPPV to occur bilaterally therefore reference concerning the effectiveness of SGB for the treatment of BPPV was difficult to obtain. In conclusion we would like to report the successful treatment of BPPV with SGB.

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