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Severe headache following local anaesthesia in a patient with a history of traumatic brain injury – a case report

Key Points

  • Provides a management strategy potentially of use in patients with difficulty receiving IAN blocks.

  • Provides a logical approach to history taking and treatment planning which could be of use in other cases.

  • It is important that the patient does not receive conflicting information as this can increase anxiety.

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  1. 1

    Meechan J G, Robb N D, Seymour R A . Pain and Anxiety Control for the Conscious Dental Patient. Oxford: Oxford University Press, 1998.

  2. 2

    Malamed S F . Handbook of Local Anaesthesia. Sixth Edition. St Louis: Elsevier, 2013.

  3. 3

    Department of Health. A Conscious Decision: A review of the use of general anaesthesia and conscious sedation in primary dental care. London: Department of Health, 2000. Available at (accessed July 2017).

  4. 4

    Malamed S F, Gagnon S, Leblanc D. Articaine hydrochloride: a study of the safety of a new amide local anaesthetic. J Am Dent Assoc 2001; 132: 177–185.

    Article  Google Scholar 

  5. 5

    Cohen A. Trigeminal autonomic cephalalgias – a diagnostic and therapeutic overview. ACNR 14: 12–15.

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Correspondence to N. D. Robb.

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Robb, N. Severe headache following local anaesthesia in a patient with a history of traumatic brain injury – a case report. Br Dent J 224, 149–151 (2018).

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