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

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...

Full description

Saved in:
Bibliographic Details
Published inA&A practice Vol. 18; no. 4; p. e01778
Main Authors Alseoudy, Mahmoud M, Abd-Elmoaty, Wael A, Ramzy, Eiad A, Abdelbaser, Ibrahim, El-Emam, El-Sayed M
Format Journal Article
LanguageEnglish
Published United States 01.04.2024
Subjects
Anesthetics, Local
Blood Patch, Epidural - methods
Humans
Post-Dural Puncture Headache - etiology
Post-Dural Puncture Headache - therapy
Sphenopalatine Ganglion Block - methods
Ultrasonography, Interventional - adverse effects
Online AccessGet more information

Cover

More Information
Summary: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.
ISSN:2575-3126
DOI:10.1213/XAA.0000000000001778