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題名 | Seizure after Local Anesthesia for Nasopharyngeal Angiofibroma=鼻腔血管纖維瘤復發的病人接受局部麻醉後產生癲癇--病例報告 |
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作者 | 蔡承靜; 王遜模; 盧奕丞; 戴志峰; 王凌峰; 蘇理盈; 盧偉; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 23:2 2007.02[民96.02] |
頁次 | 頁97-100 |
分類號 | 416.871 |
關鍵詞 | 鼻腔血管纖維瘤; 局部麻醉; 癲癇; Local anesthesia; Nasopharyngeal angiofibroma; Seizure; |
語文 | 英文(English) |
中文摘要 | 一名 26 歲男性,罹患復發之鼻腔血管纖維瘤,於鼻腔內注射 3 毫升局部麻醉劑 lidocaine 後,產生癲癇,在給予氧氣與注射 thiamylal 後,病人完全恢復且無殘留其他神經症狀。頭頸部手術注射局部麻醉時,急速產生之癲癇可能是由於藥物經靜脈或動脈回流至腦部循環中所造成。因此在處理此類血管豐富的頭頸部腫瘤時,應安排術前的血管攝影或影像學檢查。 |
英文摘要 | We report a young male patient who experienced seizure after local injection of 3 mL 2% lidocaine with epinephrine 1:200,000 around a recurrent nasal angiofibroma. After receiving 100% oxygen via mask and thiamylal sodium, the patient had no residual neurologic sequelae. Seizure immediately following the injection of local anesthetics in the nasal cavity is probably due to injection into venous or arterial circulation with retrograde flow to the brain circulation. Further imaging study or angiography should be done before head and neck surgeries, especially in such highly vascular neoplasm. |
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