Mandibular nerve block treatment for trismus associated with hypoxic-ischemic encephalopathy.
作者信息
Takemura Hiroshi, Masuda Yutaka, Yatsushiro Ryo, Yamamoto Norimasa, Hosoyamada Akiyoshi
机构信息
Department of Anesthesiology, Showa University School of Medicine, Tokyo, Japan.
出版信息
Reg Anesth Pain Med. 2002 May-Jun;27(3):313-5. doi: 10.1053/rapm.2002.30737.
BACKGROUND AND OBJECTIVES
We describe the use of mandibular nerve block for the management of bilateral trismus associated with hypoxic-ischemic encephalopathy.
CASE REPORT
The patient was a 65-year-old man with bilateral trismus due to hypoxic-ischemic encephalopathy. Despite his impaired consciousness, we performed fluoroscopically guided bilateral mandibular nerve block. The bilateral symptoms were sufficiently improved, without obvious side effects, by injecting a local anesthetic near the right mandibular nerve and a neurolytic near the left mandibular nerve.
CONCLUSIONS
Mandibular nerve block may be an effective treatment for patients with bilateral trismus due to ischemic-encephalopathy, even when consciousness is impaired.
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