The Korean Journal of Pain
- Volume 10 Issue 1
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- Pages.121-123
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- 1997
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
The Aneurysmal Subarachnoid Hemorrhage following Stellate Ganglion Block -A case report-
성상신경절 차단후 발생한 동맥류성 지주막하출혈 -증례 보고-
- Choi, In-Joo (Department of Anesthesiology, Seoul Adventist Hospital) ;
- Chang, Won-Young (Department of Anesthesiology, Seoul Adventist Hospital) ;
- Yoon, So-Young (Department of Anesthesiology, Seoul Adventist Hospital) ;
- Kim, Kyung-Bae (Department of Anesthesiology, Seoul Adventist Hospital)
- Published : 1997.05.31
Abstract
Stellate ganglion block(SGB) is frequently performed to relieve a patient from headache of various. We experienced a rare case of subarachnoid hemorrhage by aneurysmal rupture after SGB. A 46-year-old female patient diagnosed with tension headache, and normal MRI finding consulted our pain clinic. We performed right SGB in combination with greater occipital nerve block. The next day, we performed left SGB with 6 ml of 0.25% bupivacaine. She had no evidence of subarachnoid block or intravascular injection. 15 minutes after injection, she abruptly developed convulsion and loss of consciousness. She was given artificial respiration with oxygen. The diagnosis of ruptured left posterior communicating aneurysm was confirmed by 4-vessels angiography.