Prolonged vertigo and ataxia after mandibular nerve block for treatment of trigeminal neuralgia
Common complications of neurolytic mandibular nerve block are hypoesthesia, dysesthesia, and chemical neuritis. We report a rare complication, prolonged severe vertigo and ataxia, after neurolytic mandibular blockade in a patient suffering from trigeminal neuralgia. Coronoid approach was used for ri...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2011-01-01
|
| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2011;volume=27;issue=3;spage=386;epage=388;aulast=Chaturvedi |
| _version_ | 1818986628353359872 |
|---|---|
| author | Arvind Chaturvedi H H Dash |
| author_facet | Arvind Chaturvedi H H Dash |
| author_sort | Arvind Chaturvedi |
| collection | DOAJ |
| description | Common complications of neurolytic mandibular nerve block are hypoesthesia, dysesthesia, and chemical neuritis. We report a rare complication, prolonged severe vertigo and ataxia, after neurolytic mandibular blockade in a patient suffering from trigeminal neuralgia. Coronoid approach was used for right sided mandibular block. After successful test injection with local anesthetic, absolute alcohol was given for neurolytic block. Immediately after alcohol injection, patient developed nausea and vomiting along with severe vertigo, ataxia and hypertension. Neurological evaluation was normal except for the presence of vertigo and ataxia. Computerised tomography scan brain was also normal. Patient was admitted for observation and symptomatic treatment was given. Vertigo and ataxia gradually improved over 24 hours. |
| first_indexed | 2024-12-20T18:53:49Z |
| format | Article |
| id | doaj.art-eaf4d024ebe94b0f9108b9589a54fb0f |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-20T18:53:49Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-eaf4d024ebe94b0f9108b9589a54fb0f2022-12-21T19:29:34ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852011-01-0127338638810.4103/0970-9185.83689Prolonged vertigo and ataxia after mandibular nerve block for treatment of trigeminal neuralgiaArvind ChaturvediH H DashCommon complications of neurolytic mandibular nerve block are hypoesthesia, dysesthesia, and chemical neuritis. We report a rare complication, prolonged severe vertigo and ataxia, after neurolytic mandibular blockade in a patient suffering from trigeminal neuralgia. Coronoid approach was used for right sided mandibular block. After successful test injection with local anesthetic, absolute alcohol was given for neurolytic block. Immediately after alcohol injection, patient developed nausea and vomiting along with severe vertigo, ataxia and hypertension. Neurological evaluation was normal except for the presence of vertigo and ataxia. Computerised tomography scan brain was also normal. Patient was admitted for observation and symptomatic treatment was given. Vertigo and ataxia gradually improved over 24 hours.http://www.joacp.org/article.asp?issn=0970-9185;year=2011;volume=27;issue=3;spage=386;epage=388;aulast=ChaturvediCraniofacial pain syndromesmandibular nerve blocktrigeminal neuralgiavertigo |
| spellingShingle | Arvind Chaturvedi H H Dash Prolonged vertigo and ataxia after mandibular nerve block for treatment of trigeminal neuralgia Journal of Anaesthesiology Clinical Pharmacology Craniofacial pain syndromes mandibular nerve block trigeminal neuralgia vertigo |
| title | Prolonged vertigo and ataxia after mandibular nerve block for treatment of trigeminal neuralgia |
| title_full | Prolonged vertigo and ataxia after mandibular nerve block for treatment of trigeminal neuralgia |
| title_fullStr | Prolonged vertigo and ataxia after mandibular nerve block for treatment of trigeminal neuralgia |
| title_full_unstemmed | Prolonged vertigo and ataxia after mandibular nerve block for treatment of trigeminal neuralgia |
| title_short | Prolonged vertigo and ataxia after mandibular nerve block for treatment of trigeminal neuralgia |
| title_sort | prolonged vertigo and ataxia after mandibular nerve block for treatment of trigeminal neuralgia |
| topic | Craniofacial pain syndromes mandibular nerve block trigeminal neuralgia vertigo |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2011;volume=27;issue=3;spage=386;epage=388;aulast=Chaturvedi |
| work_keys_str_mv | AT arvindchaturvedi prolongedvertigoandataxiaaftermandibularnerveblockfortreatmentoftrigeminalneuralgia AT hhdash prolongedvertigoandataxiaaftermandibularnerveblockfortreatmentoftrigeminalneuralgia |