Cerebellar syndrome after occipital nerve block: A case report.


Journal

Cephalalgia : an international journal of headache
ISSN: 1468-2982
Titre abrégé: Cephalalgia
Pays: England
ID NLM: 8200710

Informations de publication

Date de publication:
09 2020
Historique:
pubmed: 26 5 2020
medline: 26 10 2021
entrez: 26 5 2020
Statut: ppublish

Résumé

Occipital nerve blocks are commonly used in the treatment of different types of refractory headaches. The procedure is considered safe, and serious complications have rarely been described. We report a serious complication of occipital nerve blockade secondary to the penetration of local anesthetic and non-steroidal anti-inflammatory drugs into the posterior fossa in a patient affected by type I Arnold Chiari malformation. This case reminds that a proper injection technique is mandatory to avoid potentially severe complications when performing occipital nerve blocks.

Sections du résumé

BACKGROUND
Occipital nerve blocks are commonly used in the treatment of different types of refractory headaches. The procedure is considered safe, and serious complications have rarely been described.
CASE PRESENTATION
We report a serious complication of occipital nerve blockade secondary to the penetration of local anesthetic and non-steroidal anti-inflammatory drugs into the posterior fossa in a patient affected by type I Arnold Chiari malformation.
CONCLUSIONS
This case reminds that a proper injection technique is mandatory to avoid potentially severe complications when performing occipital nerve blocks.

Identifiants

pubmed: 32447975
doi: 10.1177/0333102420929015
doi:

Substances chimiques

Anesthetics, Local 0
Anti-Inflammatory Agents, Non-Steroidal 0
Dipyrone 6429L0L52Y
Lidocaine 98PI200987

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1123-1126

Auteurs

Alessandro Pincherle (A)

Neurology Unit, Department of Medicine, Hopitaux Robert Schuman, Luxembourg, Luxembourg.
Department of Neurorehabilitation, IRCSS Istituto Clinico Scientifico Maugeri, Milan, Italy.

Serge Bolyn (S)

Neurology Unit, Department of Medicine, Hopitaux Robert Schuman, Luxembourg, Luxembourg.

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Classifications MeSH