Sphenopalatine Ganglion Block for Treatment of Sinus Arrest in Postherpetic Neuralgia

Authors


Address all correspondence to Dr. Lloyd Saberski, Yale Center for Pain Management, Suite 3C, 40 Temple Street, PO Box 208073, New Haven, CT 06510.

Abstract

A 64-year-old woman presented with bradycardia from sinus pauses during exacerbations of postherpetic trigeminal distribution neuralgia. She had underlying systemic lupus erythematosus. Sphenopalatine ganglion blockade was employed to treat her pain. The episodes of bradycardia resolved with successful alleviation of pain. This report emphasizes that a sphenopalatine ganglion blockade can be employed in the treatment and prevention of sinus arrest associated with postherpetic trigeminal distribution neuralgia.

Abbreviations:
SPGB

SPG

Ancillary