Korean J Pain.  2005 Dec;18(2):232-234. 10.3344/kjp.2005.18.2.232.

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

• Kang SY
• Kim DY
• Chung RK

• KMID: 2277997
• DOI: http://doi.org/10.3344/kjp.2005.18.2.232

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.

Keyword

Meniere's disease; stellate ganglion block

MeSH Terms

Adult
Anxiety
Dihydroergotamine
Female
Hearing Loss, Sudden
Humans
Meniere Disease
Mepivacaine
Nausea
Stellate Ganglion*
Tinnitus
Vertigo
Vomiting
Dihydroergotamine
Mepivacaine