TY - JOUR
TI - Transient glossopharyngeal nerve palsy due to mandibular nerve block
AU - Papadopoulou, M.
AU - Anastasakis, S.
JO - BMJ Case Reports
PY - 2022
VL - 15
TODO - 7
SP - null
PB - BMJ Publishing Group
SN - 1757-790x
TODO - 10.1136/bcr-2022-251033
TODO - articaine plus epinephrine;  mepivacaine;  articaine;  local anesthetic agent, adult;  Article;  auditory canal;  case report;  clinical article;  clinical feature;  dental procedure;  dental scaling;  differential diagnosis;  facial nerve;  female;  glossopharyngeal nerve disease;  glossopharyngeal nerve palsy;  human;  local anesthesia;  mandibular nerve;  medical history;  middle aged;  nasal speech;  nerve block;  nerve paralysis;  paralysis;  paresthesia;  periodontitis;  pharyngeal muscle;  procedural pain;  root planing;  trigeminal nerve;  uvula;  vagus nerve;  adverse event;  facial nerve paralysis;  glossopharyngeal nerve;  glossopharyngeal nerve disease;  mandibular nerve;  procedures, Anesthetics, Local;  Carticaine;  Facial Paralysis;  Female;  Glossopharyngeal Nerve;  Glossopharyngeal Nerve Diseases;  Humans;  Mandibular Nerve;  Nerve Block
TODO - Local anaesthesia in dental procedures is considered safe. Few cases of neurological complication have been reported, most of which involve the lingual or inferior alveolar nerve. We report a case of a woman in her late 40s who 30 min after administration of local anaesthetic in the right pterygomandibular space (articaine and mepivacaine) developed nasal speech and numbness in the area around external auditory meatus. Uvula was deviated to the left. No facial palsy or diplopia were observed. The symptoms subsided gradually after 3 hours. Clinical symptoms were attributed to glossopharyngeal nerve palsy. Glossopharyngeal nerve palsy after mandibular nerve block has never been reported before. Reporting cases of neurological complications of a very common and generally safe procedure help in increasing the awareness of potential risks considering the anatomical complexity and variability of the orofacial area. © 2022 BMJ Publishing Group. All rights reserved.
ER -