• Reg Anesth Pain Med · May 2002

    Case Reports

    Mandibular nerve block treatment for trismus associated with hypoxic-ischemic encephalopathy.

    • Hiroshi Takemura, Yutaka Masuda, Ryo Yatsushiro, Norimasa Yamamoto, and Akiyoshi Hosoyamada.
    • Department of Anesthesiology, Showa University School of Medicine, Tokyo, Japan. masuika@med.showa-u.ac.jp
    • Reg Anesth Pain Med. 2002 May 1; 27 (3): 313-5.

    Background And ObjectivesWe describe the use of mandibular nerve block for the management of bilateral trismus associated with hypoxic-ischemic encephalopathy.Case ReportThe patient was a 65-year-old man with bilateral trismus due to hypoxic-ischemic encephalopathy. Despite his impaired consciousness, we performed fluoroscopically guided bilateral mandibular nerve block. The bilateral symptoms were sufficiently improved, without obvious side effects, by injecting a local anesthetic near the right mandibular nerve and a neurolytic near the left mandibular nerve.ConclusionsMandibular nerve block may be an effective treatment for patients with bilateral trismus due to ischemic-encephalopathy, even when consciousness is impaired.

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