title: Treatment of post-dural puncture headache with bilateral greater occipital nerve block.
abstract: (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.
authors.affiliation: Ministry of Health Ankara Training and Research Hospital, 1st Anesthesiology and Reanimation Clinic, Ankara, Turkey.
authors.forename: Suna
authors.initials: S
authors.lastname: Akin Takmaz
authors.forename: Ciğdem
authors.initials: C
authors.lastname: Unal Kantekin
authors.forename: Cetin
authors.initials: C
authors.lastname: Kaymak
authors.forename: Hülya
authors.initials: H
authors.lastname: Başar
mesh_terms: 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