Case Report
Volume: 6 | Issue: 8 | Published: Nov 30, 2022 | Pages: 139 - 143 | DOI: 10.24911/ejmcr/173-1643795237
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
Article Info
Authors
Gozde Nur Erkan
Kirikkale University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Section of Anesthesiology and Reanimation, Kirikkale University, Kirikkale, Turkey
Betul Kirman
Kirikkale University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Kirikkale University, Kirikkale, Turkey
Mustafa Ercument Onder
2 Kirikkale University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Kirikkale University, Kirikkale, Turkey.
Publication History
Received: February 02, 2022
Revised: October 13, 2022
Accepted: October 13, 2022
Published: November 30, 2022
Abstract
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, green
