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KMID : 0363119940070020270
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Korean Journal of Pain
1994 Volume.7 No. 2 p.270 ~ p.272
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Hematoma in Neck after Stellate Ganglion Block
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Abstract
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A 43 year old male patient injured in a traffic accident was admitted to the department of general surgery for the treatment of spleen rupture and multiple rib fractures. After subphrenic abscess occurred after splenectomy was treated. After 50
days of
admission, left facial palsy occurred with sensory neural hearing loss, and tinnitus by longitudinal fracture of left temporal bone. The patients was consulted to pain clinic for further evaluation and treatment. The patient was treated with
stellate
ganglion block with 1% lidocaine 6ml one time daily.
On 19th day, stellate ganglion block was given as usual, and the patient complained of pain in the neck and headache the next day. Two days later, mild fever elevation and hematoma in the neck were found. Hematoma was drained with hemovac.
Ruptured
muscular branch of vertebral artery was ligated surgically but the ligation was released in the next day and the hematoma was removed and the artery religated. Five units of packed RBC were transfused during the period and the patient was
discharged
without any sequelae.
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KEYWORD
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