J Korean Dent Soc Anesthesiol.  2011 Dec;11(2):164-171. 10.17245/jkdsa.2011.11.2.164.

Syncope & Coma during Endodontic Treatment under Local Anesthesia in Multiple Medically Compromised Patient

• Yoo JH
• Choi BH
• Lee CU
• Kim JB

• KMID: 2425215
• DOI: http://doi.org/10.17245/jkdsa.2011.11.2.164

Abstract

Altered consciousness may be the first clinical sign of a serious medical problem that requires immediate and intensive therapy to maintain life. There are many causes of the loss of consciousness in the dental office setting, such as, vasodepressor syncope, drug administration or ingestion, orthostatic hypotension, epilepsy, hypoglycemic reaction, acute adrenal insufficiency, cerebrovascular accident, hyperglycemic reaction, acute myocardial infarction, acute allergic reaction and hyperventilation. This is a case report of syncope and coma during endodontic treatment of a maxillary third molar under local infiltration anesthesia in multiple medically compromised patient. The main cause was thought to be hypoglycemic reaction. The patient was transferred to the medical emergency room and cared properly by the emergency medical physicians. The prognosis was good.

Keyword

Syncope; Coma; Hypoglycemic reaction; Multiple medically compromised patient

MeSH Terms

Adrenal Insufficiency
Anesthesia, Local*
Coma*
Consciousness
Dental Offices
Eating
Emergencies
Emergency Service, Hospital
Epilepsy
Humans
Hypersensitivity
Hyperventilation
Hypotension, Orthostatic
Molar, Third
Myocardial Infarction
Prognosis
Stroke
Syncope*
Syncope, Vasovagal
Unconsciousness