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May 28, 2026Case Reports in Critical CareOpen Access

Bilateral Stellate Ganglion Block After Ventricular Arrhythmia May Hide Clinical Signs of the Cushing Triad: A Case Study and Review of the Literature

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Authors

MWMichael WatchiUniversité Libre de BruxellesVPVictor PenaudAssistance Publique – Hôpitaux de ParisVDValentina DitaliUniversité Libre de Bruxelles

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Overview

Case report reveals that bilateral stellate ganglion block can mask signs of neurological decline in cardiac patients, suggesting caution in its use.

Key Points

  • To explore the complications associated with bilateral stellate ganglion blockade after ventricular arrhythmia.
  • Case report of a 34-year-old patient with recurrent polymorphic ventricular tachycardia and cardiac arrest
  • Bilateral stellate ganglion block performed
  • Clinical outcomes were monitored post-intervention.
  • Patient developed bilateral areflexic mydriasis and diffuse cerebral edema post-SGB.
  • Delayed diagnosis of intracranial hypertension due to masked clinical signs.
  • Patient ultimately died from acute intracranial hypertension.

Cite This Study

Watchi et al. (2026) studied this question.

synapsesocial.com/papers/6a17dcdf3fad632b0f9d9895https://doi.org/10.1155/crcc/6360234
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