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Aetiology of convulsions due to stellate ganglion block: a review and report of two cases

Published online by Cambridge University Press:  16 August 2006

A. Mahli
Affiliation:
Gazi University, Department of Anesthesiology, Faculty of Medicine, Ankara, Turkey
D. Coskun
Affiliation:
Gazi University, Department of Anesthesiology, Faculty of Medicine, Ankara, Turkey
D. T. Akcali
Affiliation:
Gazi University, Department of Anesthesiology, Faculty of Medicine, Ankara, Turkey
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Abstract

Stellate ganglion block is a selective sympathetic block that affects the ipsilateral head, neck, upper extremity and upper part of the thorax. Convulsions are a recognized complication of intra-arterial injection during stellate ganglion block. As central nervous system toxicity depends ultimately on the concentration of the local anaesthetics presented to the brain, the likely causative factors are discussed as well as the types of toxic symptoms and their onset times. The paper considers the aetiological factors of such convulsions resulting from stellate ganglion block in two patients.

Type
Clinical Letter
Copyright
2002 European Society of Anaesthesiology

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