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Fatal subarachnoid haemorrhage associated with dental local anaesthesia
Authors:Yasusei Okada MD,Postgraduate student,,Hiroko Suzuki MD,Junior Lecturer&dagger  ,  Ikuo Ishiyama MD,Professor&Dagger  
Affiliation:Department of Forensic Medicine, Faculty of Medicine, University of Tokyo;Department of Forensic Medicine, Faculty of Medicine, Juntendo University;Department of Forensic Medicine, Faculty of Medicine, University of Tokyo
Abstract:
A case is described of sudden death occurring after the use of a noradrenaline-containing local anaesthetic. Autopsy revealed a massive subarachnoid haemorrhage following a ruptured cerebral aneurysm. The noradrenaline in the local anaesthetic is thought to be an important factor in the cause of the rupture. It is recommended that preparations containing 1:25,000 noradrenaline not be used.
Keywords:Case report    dental anaesthesia    fatal subarachnoid haemorrhage
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