Topical Sphenopalatine Ganglion Block provide Quick Relief to Patients with Postdural Puncture Headache

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Topical Sphenopalatine Ganglion Block provide Quick Relief to Patients with Postdural Puncture Headache

As per the recent analysis, patients with post-dural puncture headache get a quick relief when treated with topical sphenopalatine ganglion block.

Postdural puncture headache (PDPH), a critical debilitating problem is related to unintended dural puncture. The standard treatment of PDPH includes epidural blood patch (EBP) which is an invasive treatment and is also associated with certain severe complications like paralysis and meningitis.

Shaul Cohen and colleagues conducted a retrospective chart review to compare the efficacy of sphenopalatine ganglion block (SPGB) to EBP for PDPH treatment in postpartum patients. The patients included in the analysis were the patients who felt PDPH from an unintentional dural puncture from a 17-gauge Tuohy needle for labor epidural from January 1997 to July 2014. The EBP group involved 39 and SPGB group included 41 patients. Before initiating the treatment, headache severity, demographic features and headache-related symptoms were collected. Both groups were compared for new treatment complications, residual headache and recovery from related symptoms at 30 minutes, one h, 24 h, 48 h and one week after the treatment.

In the SPGB group, more patients exhibited considerable relief from PDPH and related symptoms at 30 min and one h post-treatment as compared to EBP group (P < 0.01). The complications after the treatment were noticed only in EBP group which cleared up in 48 hours. This reflects that SPGB is an effective, well-tolerated and safe approach to manage PDPH.


Cochrane Database Syst Rev           

Link to the Source:

The original title of the article:

Topical Sphenopalatine Ganglion Block Compared With Epidural Blood Patch for Postdural Puncture Headache Management in Postpartum Patients: A Retrospective Review


Shaul Cohen et al.

Therapeutic, Postdural Puncture Headache, Head, Retrospective Review, Efficacy, Safety
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