Ultrasound-Guided Suprazygomatic Sphenopalatine Ganglion Block for Postdural Puncture Headache Resistant to Epidural Blood Patch: A Case Report.

Autor:	Alseoudy MM; From the Department of Anesthesia, Surgical Intensive Care, and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt., Abd-Elmoaty WA; Department of Anesthesia, Sherbeen General Hospital, Ministry of Health, Sherbeen, Egypt., Ramzy EA; From the Department of Anesthesia, Surgical Intensive Care, and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt., Abdelbaser I; From the Department of Anesthesia, Surgical Intensive Care, and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt., El-Emam EM; From the Department of Anesthesia, Surgical Intensive Care, and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Jazyk:	angličtina
Zdroj:	A&A practice [A A Pract] 2024 Apr 04; Vol. 18 (4), pp. e01778. Date of Electronic Publication: 2024 Apr 04 (Print Publication: 2024).
DOI:	10.1213/XAA.0000000000001778
Abstrakt:	Even though epidural blood patch (EBP) is thought to be the definitive treatment for severe cases of postdural puncture headache (PDPH), it may be accompanied by complications like adhesion arachnoiditis, and cauda equina syndrome, especially if the injection is repeated. The sphenopalatine ganglion (SPG) block is a new minimally invasive technique for the treatment of PDPH, with variable results according to the clinical situation and deployed approach. We describe a case of PDPH resistant to EBP in which we successfully managed symptoms using ultrasound-guided suprazygomatic SPG block to deliver local anesthetic directly into pterygopalatine fossa, thus avoiding a second EBP. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 International Anesthesia Research Society.)
Databáze:	MEDLINE
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