Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Jul;54(4):324-6.
doi: 10.4103/0019-5049.68376.

Locked-in syndrome during stellate ganglion block

Affiliations

Locked-in syndrome during stellate ganglion block

A Chaturvedi et al. Indian J Anaesth. 2010 Jul.

Abstract

Intra-arterial injection of a local anaesthetic during stellate ganglion blockade may cause life-threatening complications. The usual complications are apnoea, unconsciousness and seizures. However, occasionally an unusual complication, 'locked-in' syndrome, has also been reported. In this syndrome the patients remain conscious despite their inability to move, breathe or speak. Here we describe a patient who developed features akin to the locked-in syndrome along with severe hypotension and bradycardia, after an injection of only 2 ml of lignocaine during a stellate ganglion block.

Keywords: Arterial injection; locked-in syndrome; stellate ganglion block.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared

Similar articles

Cited by

References

    1. Nader A. Peripheral sympathetic block. In: Benzon HT, Raja SN, Molloy RE, editors. Essential of pain medicine and regional anaesthesia. 2nd ed. Philadelphia: Elsevier; 2005. pp. 689–93.
    1. Molloy RE, Benzon HT. Neurolytic blocking agents. In: Benzon HT, editor. Raj’s practical management of pain. 4th ed. Philadelphia: Mosby; 2008. pp. 845–46.
    1. Korevaar WC, Burney RG, Moore PA. Convulsion during stellate ganglion block. A case report. Anesth Analg. 1979;58:329–30. - PubMed
    1. Ellis JS, Ramamurthy S. Seizure following stellate ganglion block after negative aspiration and test dose. Anesthesiology. 1986;64:533–4. - PubMed
    1. Sjienfield M, Laurencio M, Palleres VS. Total reversible blindness following attempted stellate ganglion block. Anesth Analg. 1981;60:689–90. - PubMed