Treatment of post-dural puncture headache with bilateral greater occipital nerve block.
(Headache 2010;50:869-881) Epidural blood patch is an effective treatment with a low complication rate. It is also an invasive method that can cause permanent neurological sequelae such as early and late back pain, radiculopathy, spinal-subdural hematoma, spinal-epiarachnoid hematoma, intrathecal hematoma, arachnoiditis, and infection. We report a case in which a postdural puncture headache resolved within 2 minutes of a greater occipital nerve block, a minimally invasive and easy procedure with a low complication rate. This case report suggests that a greater occipital nerve block may be a successful alternative treatment for patients with post-dural puncture headache.
Akin Takmaz
Suna
S
Ministry of Health Ankara Training and Research Hospital, 1st Anesthesiology and Reanimation Clinic, Ankara, Turkey.
Unal Kantekin
Ciğdem
C
Kaymak
Cetin
C
Başar
Hülya
H
D000328:Adult; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D004388:Dura Mater / Q000293:injuries*; D006261:Headache / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D013129:Spinal Puncture / Q000009:adverse effects*; D013353:Subdural Effusion / Q000150:complications* / Q000209:etiology