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Treatment of Post‐Dural Puncture Headache With Bilateral Greater Occipital Nerve Block
Author(s) -
Akin Takmaz Suna,
Ünal Kantekin Ciğdem,
Kaymak Çetin,
Başar Hülya
Publication year - 2010
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2010.01656.x
Subject(s) - medicine , hematoma , complication , arachnoiditis , surgery , anesthesia , post dural puncture headache , epidural hematoma , epidural blood patch , nerve block , spinal anesthesia
( 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.