J Korean Pain Soc.
1995 Nov;8(2):328-330.
A Case of Benign Paroxysmal Positional Vertigo Treated with Stellate Ganglion Block
- Affiliations
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- 1Department of Anesthesiology Pain Clinic, Chonbuk National University Hopital, Chonju, Korea.
Abstract
- A fourty-year-old housewife was admitted to the Department of Ear, Nose, and Throat from the emergency room, because of severe vertigo associated with positional changes of the head. Hallpike maneuver produced typical patterns of bilateral nystagmus consistent with benign paroxysmal positional vertigo (BPPV), and further geotropic rotatory nystagmus with positional change of the head in each direction. Direction of nystagmus reversed when the patient was repositioned upright. Particle repositioning maneuver was administered to her left ear but failed to relieve the severe dizziness associated with the head turning to the right. She was then referred to the pain clinic where we determined, right stellate ganglion block (SGB), as the course of treatment. During the next month the patient received 27 SGB treatments and the patient was almost eompletely healed. It is unusual for the BPPV to occur bilaterally therefore reference concerning the effectiveness of SGB for the treatment of BPPV was difficult to obtain. In conclusion we would like to report the successful treatment of BPPV with SGB.
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