1.Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review
Abhijit S NAIR ; Praveen Kumar KODISHARAPU ; Poornachand ANNE ; Mohammad Salman SAIFUDDIN ; Christopher ASIEL ; Basanth Kumar RAYANI
The Korean Journal of Pain 2018;31(2):80-86
The Epidural blood patch is considered the gold standard for managing postdural puncture headache when supportive measures fail. However, it is a procedure which can lead to another inadvertent dural puncture. Other potential adverse events that could occur during a blood patch are meningitis, neurological deficits, and unconsciousness. The bilateral greater occipital nerve block has been used for treating chronic headaches in patients with PDPH with a single injection. This minimally invasive, simple procedure can be considered for patients early, along with other supportive treatment, and an epidural blood patch can be avoided.
Blood Patch, Epidural
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Headache Disorders
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Humans
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Meningitis
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Nerve Block
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Pain Management
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Post-Dural Puncture Headache
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Punctures
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Ultrasonography
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Unconsciousness