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

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)
Publication Information
The Korean Journal of Pain / v.18, no.2, 2005 , pp. 232-234 More about this Journal
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.
Keywords
Meniere's disease; stellate ganglion block;
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