A rare case report and review of the literature: partial Horner’s syndrome and unusual neurological complications after inferior alveolar nerve block
Authors: Gozde Nur Erkan, Betul Kirman, Mustafa Ercument Onder
Background: Inferior alveolar nerve block (IANB) is frequently applied in mandibular dental procedures. Neurological complications develop very rarely due to IANB, and most of the complications are temporary. Case Presentation: We present a 79-year-old man with partial Horner’s syndrome, hyperlacrimation, aphonia, dysphagia, severe cough, and foreign body sensation in the throat after IANB. All symptoms disappeared 3 hours after local anesthetic injection. Conclusion: It was aimed to investigate the underlying pathophysiological causes of complications together with clinical and anatomical data. Neuronal blockade of the carotid plexus, nervus laryngeus superior and inferior can develop after IANB. In addition, it is critical to accurately determine the IANB injection site in obese and thick-short neck patients.
Keywords: Inferior alveolar nerve block, partial Horner’s syndrome, hyperlacrimation, aphonia, dysphagia, carotid plexus.
Authors
Gozde Nur Erkan
Kirikkale University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Section of Anesthesiology and Reanimation, Kirikkale University, Kirikkale, Turkey
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Mustafa Ercument Onder
2 Kirikkale University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Kirikkale University, Kirikkale, Turkey.
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Correspondence to:
Gozde Nur Erkan, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Section of Anesthesiology and Reanimation, Kirikkale University, Kirikkale, Turkey dr.gozdenur@gmail.com
Publication history:
Received 02 Feb 2022
Revised 13 Oct 2022
Accepted 14 Oct 2022
Published online 30 Nov 2022
Published in print 14 Dec 2022
Erkan GN, Kirman B, Onder ME. A rare case report and review of the literature: partial Horner’s syndrome and unusual neurological complications after inferior alveolar nerve block. EJMCR. 2022; 6(8): 139-143. doi:
10.24911/ejmcr/173-1643795237
Erkan GN, Kirman B, Onder ME. A rare case report and review of the literature: partial Horner’s syndrome and unusual neurological complications after inferior alveolar nerve block. https://www.ejmcr.com/?mno=24302 [Access: May 12, 2024]. doi:
10.24911/ejmcr/173-1643795237
Erkan GN, Kirman B, Onder ME. A rare case report and review of the literature: partial Horner’s syndrome and unusual neurological complications after inferior alveolar nerve block. EJMCR. 2022; 6(8): 139-143. doi:
10.24911/ejmcr/173-1643795237
Erkan GN, Kirman B, Onder ME. A rare case report and review of the literature: partial Horner’s syndrome and unusual neurological complications after inferior alveolar nerve block. EJMCR. (2022), [cited May 12, 2024]; 6(8): 139-143. doi:
10.24911/ejmcr/173-1643795237
Erkan, G. N., Kirman, . B. & Onder, . M. E. (2022) A rare case report and review of the literature: partial Horner’s syndrome and unusual neurological complications after inferior alveolar nerve block. EJMCR, 6 (8), 139-143. doi:
10.24911/ejmcr/173-1643795237
Erkan, Gozde Nur, Betul Kirman, and Mustafa Ercument Onder. 2022. A rare case report and review of the literature: partial Horner’s syndrome and unusual neurological complications after inferior alveolar nerve block. European Journal of Medical Case Reports, 6 (8), 139-143. doi:
10.24911/ejmcr/173-1643795237
Erkan, Gozde Nur, Betul Kirman, and Mustafa Ercument Onder. "A rare case report and review of the literature: partial Horner’s syndrome and unusual neurological complications after inferior alveolar nerve block." European Journal of Medical Case Reports 6 (2022), 139-143. doi:
10.24911/ejmcr/173-1643795237
Erkan, Gozde Nur, Betul Kirman, and Mustafa Ercument Onder. "A rare case report and review of the literature: partial Horner’s syndrome and unusual neurological complications after inferior alveolar nerve block." European Journal of Medical Case Reports 6.8 (2022), 139-143. Print. doi:
10.24911/ejmcr/173-1643795237
Erkan, G. N., Kirman, . B. & Onder, . M. E. (2022) A rare case report and review of the literature: partial Horner’s syndrome and unusual neurological complications after inferior alveolar nerve block. European Journal of Medical Case Reports, 6 (8), 139-143. doi:
10.24911/ejmcr/173-1643795237
