Avoiding Invasive Measures: Sphenopalatine Ganglion Block as a Substitute for Epidural Blood Patch in Post-dural Puncture Headache: A Case Report.

Q2 Medicine

Anesthesiology and Pain Medicine Pub Date : 2024-09-08 eCollection Date: 2024-08-01 DOI:10.5812/aapm-148291

Saeede Babaiyan, Fatemeh Shakhs Emampour

{"title":"Avoiding Invasive Measures: Sphenopalatine Ganglion Block as a Substitute for Epidural Blood Patch in Post-dural Puncture Headache: A Case Report.","authors":"Saeede Babaiyan, Fatemeh Shakhs Emampour","doi":"10.5812/aapm-148291","DOIUrl":null,"url":null,"abstract":"Introduction: Post-dural puncture headache (PDPH) is a well-known consequence of neuraxial anesthesia that can impede patient recovery and delay early discharge. Traditional remedies include hydration and the administration of simple analgesics for symptom relief. When symptoms persist despite conservative interventions, an epidural blood patch (EBP) is typically recommended. However, this invasive procedure carries risks and complications. Our case report aims to explore a potential alternative treatment for PDPH.Case presentation: We present the case of a 22-year-old female who experienced PDPH following spinal anesthesia. Despite initial attempts at conservative management, her symptoms persisted. She then opted for a trans-nasal sphenopalatine ganglion (SPG) block, which resulted in remarkable pain relief and eliminated the need for an EBP.Conclusions: The SPG block emerges as a minimally invasive option for treating PDPH. Multiple studies have demonstrated that patients undergoing SPG block therapy did not require EBP.","PeriodicalId":7841,"journal":{"name":"Anesthesiology and Pain Medicine","volume":"14 4","pages":"e148291"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895799/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anesthesiology and Pain Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5812/aapm-148291","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Post-dural puncture headache (PDPH) is a well-known consequence of neuraxial anesthesia that can impede patient recovery and delay early discharge. Traditional remedies include hydration and the administration of simple analgesics for symptom relief. When symptoms persist despite conservative interventions, an epidural blood patch (EBP) is typically recommended. However, this invasive procedure carries risks and complications. Our case report aims to explore a potential alternative treatment for PDPH.

Case presentation: We present the case of a 22-year-old female who experienced PDPH following spinal anesthesia. Despite initial attempts at conservative management, her symptoms persisted. She then opted for a trans-nasal sphenopalatine ganglion (SPG) block, which resulted in remarkable pain relief and eliminated the need for an EBP.

Conclusions: The SPG block emerges as a minimally invasive option for treating PDPH. Multiple studies have demonstrated that patients undergoing SPG block therapy did not require EBP.

查看原文本刊更多论文

避免侵入性措施：蝶帕神经节阻滞替代硬膜外血贴治疗硬膜穿刺后头痛1例。

简介：硬膜穿刺后头痛（PDPH）是众所周知的神经轴麻醉的后果，可阻碍患者恢复和延迟早期出院。传统的治疗方法包括水合作用和使用简单的止痛剂来缓解症状。当症状持续，尽管保守干预，硬膜外血贴（EBP）通常推荐。然而，这种侵入性手术存在风险和并发症。我们的病例报告旨在探讨一种潜在的替代治疗PDPH。病例介绍：我们提出了一个22岁的女性谁经历了脊髓麻醉后PDPH的情况。尽管最初尝试了保守治疗，但她的症状持续存在。然后，她选择了经鼻蝶腭神经节（SPG）阻滞，这导致了显著的疼痛缓解，并消除了EBP的需要。结论：SPG阻滞是治疗PDPH的一种微创选择。多项研究表明，接受SPG阻滞治疗的患者不需要EBP。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Anesthesiology and Pain Medicine Medicine-Anesthesiology and Pain Medicine

CiteScore

4.60

自引率

0.00%

发文量