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Sphenopalatine ganglion block for treatment of sinus arrest in postherpetic neuralgia
Authors:Saberski L  Ahmad M  Wiske P
Affiliation:From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Conn. (Drs. Saberski and Ahmad) and the; Department of Medicine (Dr. Wiske), Yale University School of Medicine, New Haven, Conn.
Abstract:
A 64-year-old woman presented with bradycardia from sinus pauses during exacerbations of postherpetic trigeminal distribution neuralgia. She had underlying systemic lupus erythematosus. Sphenopalatine ganglion blockade was employed to treat her pain. The episodes of bradycardia resolved with successful alleviation of pain. This report emphasizes that a sphenopalatine ganglion blockade can be employed in the treatment and prevention of sinus arrest associated with postherpetic trigeminal distribution neuralgia.
Keywords:trigeminal neuralgia    sinus arrest    sphenopalatine ganglion block    systemic lupus erythematosus
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