Open AccessSeizure After Local Anesthesia for Nasopharyngeal Angiofibroma
Author(s) -
Tsai ChengJing,
Wang HsunMo,
Lu IChen,
Tai ChihFeng,
Wang LingFeng,
Soo LeeYing,
Lu David Vi
Publication year - 2007
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70383-3
Subject(s) - medicine , anesthesia , lidocaine , thiamylal , nasal cavity , angiofibroma , local anesthetic , local anesthesia , surgery
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.