어지럼 발작 병력환자에서 성상신경절블록 후 다시 발생한 어지럼 발작 -증례 보고-

Meniere's Attack after Stellate Ganglion Block -A case report-

  • 강신영 (이화여자대학교 의과대학 마취통증의학교실) ;
  • 김동연 (이화여자대학교 의과대학 마취통증의학교실) ;
  • 정락경 (이화여자대학교 의과대학 마취통증의학교실)
  • Kang, Sin Young (Department of Anesthesiology and Pain Medicine, College of Medicine, Ewha Womans University) ;
  • Kim, Dong Yeon (Department of Anesthesiology and Pain Medicine, College of Medicine, Ewha Womans University) ;
  • Chung, Rack Kyung (Department of Anesthesiology and Pain Medicine, College of Medicine, Ewha Womans University)
  • 투고 : 2005.09.01
  • 심사 : 2005.11.03
  • 발행 : 2005.12.10

초록

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.

키워드

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