The Korean Journal of Pain
- 제10권1호
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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)
성상신경절 차단후 발생한 동맥류성 지주막하출혈 -증례 보고-
The Aneurysmal Subarachnoid Hemorrhage following Stellate Ganglion Block -A case report-
- 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)
- 발행 : 1997.05.31
초록
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.