星狀神經結阻斷用於治療梅尼爾氏症：病例報告

Stellate Ganglion Block for the Treatment of Meniere's Disease: A Case Report

梅尼爾氏症常見的症狀包含感覺神經性聽力喪失，耳鳴，耳悶塞感，以及眩暈。多種藥物以及手術，都曾被報導能治療或減輕這些症狀。而星狀神經節阻斷術則是廣泛運用在疼痛門診的治療技術之一，常被用來治療頭頸部區域疼痛與各種不適症狀。然而，關於利用星狀神經節阻斷術，治療梅尼爾氏症的文獻卻很稀少。在這篇病例報告中，我們提出一位梅尼爾氏症的24歲女性病人，長期都有嚴重耳鳴與眩暈的症狀，明顯影響生活品質。多年來，這位病人持續服用多種口服藥物，但是都無法有效減輕症狀。我們以星狀神經節阻斷術治療這個病人，每週兩次。十週之後，這位病人的症狀有顯著的改善，耳蝸電圖與治療前相比也有明顯的改變。在文章中，我們詳細討論了治療的流程計畫，以及如何避免星狀神經節阻斷術的各種可能的嚴重併發症。

Meniere's disease (MD) is characterized by deafness, tinnitus, and episodic vertigo. Several medications or surgical interventions have been reported to successfully treat or alleviate the symptoms. Stellate ganglion block (SGB) is a commonly performed procedure in the pain clinic, and has been employed as treatment for pain syndrome or other disorders in the head and neck regions. However, currently the literature regarding SGB for the treatment of MD is very limited. Herein we report a case of MD, a 24 year-old female, who had been suffering from vertigo and tinnitus for many years. Oral medications had been taken for a long time, without much amelioration of the symptoms. We performed SGB for her on a twice-a-week basis for a total of 20 sessions. The symptoms significantly subsided after 10 weeks of treatment, as well as the changes in electrocochleography (ECOG) were observed. The course of treatment and the strategy to avoid possible severe complications associated with the conduct of SGB will be discussed in our report.