Case ReportTransnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in the ED☆,☆☆
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Cited by (30)
Trans-nasal sphenopalatine ganglion block for post-dural puncture headache management: a meta-analysis of randomized trials
2023, Brazilian Journal of Anesthesiology (English Edition)Sphenopalatine block with lidocaine spray for treatment of obstetric postdural puncture headache
2021, Journal of Clinical AnesthesiaSphenopalatine ganglion block for the treatment of postdural puncture headache: a randomised, blinded, clinical trial
2020, British Journal of AnaesthesiaCitation Excerpt :Several case reports describe the use of nerve blocks as a treatment for PDPH, most with an SPG block or greater occipital nerve block.7–9,19–21 Kent and Mehaffey7,8 described the use of SPG block in three emergency department patients and three obstetric patients. That block was administered by saturating a cotton tip applicator with lidocaine 2% and inserting it to the posterior nasopharynx.
Treatment of obstetric post-dural puncture headache. Part 1: conservative and pharmacological management
2019, International Journal of Obstetric AnesthesiaCitation Excerpt :There is currently insufficient evidence to recommend the use of greater occipital nerve blocks in the treatment of obstetric PDPH. The potential benefits of sphenopalatine ganglion blocks (SPGBs) have been suggested in one unrandomised retrospective study80 and a number of case series.81–88 Sphenopalatine ganglion blocks are thought to work by blocking parasympathetic flow to cerebral vasculature, reducing cerebral vasodilatation.
Transnasal Lidocaine for Treating Headache in the Emergency Department
2018, Journal of Emergency MedicinePostdural Puncture Headache: An Evidence-Based Approach
2017, Anesthesiology ClinicsCitation Excerpt :Another treatment recently recommended is sphenopalatine ganglion block. The sphenopalatine ganglion is an extracranial neural structure located in the pterygopalatine fossa that has both sympathetic and parasympathetic components.30,31 It can be accessed through either a transcutaneous or a transnasal approach.