[A case of severe hypertension caused by stellate ganglion block in a patient with facial palsy].
We report a case of severe hypertension following stellate ganglion block. A 61-year old woman received the left stellate ganglion block with 5 ml of 1% mepivacaine for her left facial palsy. Before the stellate ganglion block, blood pressure was 120/68 mmHg and heart rate was 62 b.p.m. Seven minutes after the left stellate ganglion block, blood pressure increased to 230/140 mmHg, but heart rate was unchanged. Systolic blood pressure remained above 190 mmHg for 60 minutes following the stellate ganglion block. We suggest that the extreme increase in blood pressure was due to the vagal nerve block associated with the left stellate ganglion block.
Department of Anesthesiology, Nagoya University, School of Medicine.
S
S
Yokota
T
T
Komatsu
T
T
Kimura
Y
Y
Shimada
D000779:Anesthetics, Local; D001340:Autonomic Nerve Block / Q000009:adverse effects*; D005158:Facial Paralysis / Q000628:therapy*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008619:Mepivacaine; D008875:Middle Aged; D013233:Stellate Ganglion; D014630:Vagus Nerve
D000779:Anesthetics, Local; D008619:Mepivacaine