J Korean Pain Soc.  1997 May;10(1):121-124.

The Aneurysmal Subarachnoid Hemorrhage following Stellate Ganglion Block

• Choi IJ
• Chang WY
• Yoon SY
• Kim KB

Abstract

Stellate ganglion block (SGB) is frequently performed to relieve a patient from headache of various causes. 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.

Keyword

Anesthetic techniques, stellate ganglion block; Brain, aneurysm, subarachnoid hemorrhage

MeSH Terms

Aneurysm*
Angiography
Bupivacaine
Diagnosis
Female
Headache
Humans
Magnetic Resonance Imaging
Middle Aged
Nerve Block
Oxygen
Pain Clinics
Respiration, Artificial
Rupture
Seizures
Stellate Ganglion*
Subarachnoid Hemorrhage*
Tension-Type Headache
Unconsciousness
Bupivacaine
Oxygen