Please use this identifier to cite or link to this item: http://localhost:8080/xmlui/handle/123456789/7315
Title: Transnasal sphenopalatine ganglion block for postdural puncture headache in obstetric patients: A Malaysian experience report
Authors: Kassim, Zawiah
Kamar, Rusnaini Mustapha
Zakariah, Mohd Fahmi
Geok, Ivy Sim Chui
Keywords: Epidural blood patch
Neuraxial anaesthesia
Obstetric
Postdural puncture headache
Transnasal sphenopalatine ganglion block
Issue Date: 2022
Publisher: Journal of Taibah University Medical Sciences
Series/Report no.: Case Report;805-809
Abstract: Postdural puncture headache (PDPH) is a common complication among obstetric patients after neuraxial anaesthesia. Conservative management may be associated with compliance issues, whereas the gold standard treatment, the epidural blood patch, is invasive and can result in serious complications. Transnasal sphenopalatine ganglion (SPG) block has recently emerged as a noninvasive treatment modality for PDPH. We describe our experience in performing transnasal SPG block by using modified techniques and different drug regimens at our centre. Dexamethasone was used as an adjuvant in transnasal SPG block for PDPH and has not been reported in other studies. Our first patient showed complete resolution of PDPH, and our second patient had a partially resolved headache subsequently requiring an epidural blood patch.
URI: http://localhost:8080/xmlui/handle/123456789/7315
ISSN: 1658-3612
Appears in Collections:Vol 17 No 5 (2022)

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