J Korean Pain Soc.  1995 Apr;8(1):164-167.

Contralateral Horner's Syndrme after Stellate Ganglion Block: A case report

• Song SO
• Lee DH
• Park DP

Abstract

Stellate ganglion block (SGB) is a widely used sympathetic block to diagnose or treat various painful conditions. We experienced a rare case who exhihited a contralateral Horner's syndrome following SGB. A 64-year-old female patient suffering from postherpetic neuralgia on mandibular branch of trigeminal nerve visited our pain clinic. She complained of severe burning and shooting pain on right side lower lip, ear and temporal area. We modified her previous medications and performed repeated right SGB daily, in combination with mandibular or mental and auriculotemporal nerve blocks twice a week. Her symptoms were progressively improved. A contralateral Horner's syndrome occured after the thirteenth SGB, which was per formed under several attqmpts in the same manner and the same physician. She had no evidence of subarachnoid or brachial plexus blocks. She did not need any special treatment and returned home 2 hours later. Subsquent blocks were followed on ipsilateral Horner's syndromes.

Keyword

Stellate ganglion block; Contralateral Horner's syndrome

MeSH Terms

Brachial Plexus
Burns
Ear
Female
Horner Syndrome
Humans
Lip
Middle Aged
Nerve Block
Neuralgia, Postherpetic
Pain Clinics
Stellate Ganglion*
Trigeminal Nerve