Ultrasound-guided superficial cervical plexus block for carotid endarterectomy in a patient with Lemierre syndrome: A case report
Anesthesia and Pain Medicine
;
: 345-348, 2016.
Article
in English
| WPRIM
| ID: wpr-177914
ABSTRACT
A 70-year-old woman with an infectious thrombus in her left internal jugular vein (IJV) underwent carotid endarterectomy for stenosis and a highly movable plaque in her right carotid artery. She had been treated with antibiotics for four weeks before surgery due to Lemierre syndrome, a rare septic thrombophlebitis in the IJV secondary to an oropharyngeal infection. The right IJV was in a two-fold dilated state due to compensation for a thrombotic left IJV. Accordingly, superficial cervical plexus block was performed under ultrasound guidance to ensure safety and accuracy. During surgery, the alertness was maintained and the patient did not complain of pain in the absence of additional analgesics. No block-related complications were encountered. The authors report for the first time their regional anesthetic experiences in a patient with Lemierre syndrome.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thrombophlebitis
/
Thrombosis
/
Carotid Arteries
/
Cervical Plexus
/
Ultrasonography
/
Endarterectomy, Carotid
/
Constriction, Pathologic
/
Compensation and Redress
/
Lemierre Syndrome
/
Cervical Plexus Block
Type of study:
Diagnostic study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Anesthesia and Pain Medicine
Year:
2016
Type:
Article
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