SciELO - Scientific Electronic Library Online

 
vol.2 issue4Notalgia paresthetica and neuropathic itch. Case report author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


BrJP

Print version ISSN 2595-0118On-line version ISSN 2595-3192

Abstract

MACHADO, Felipe Chiodini; CARONE NETO, Gilson  and  ASHMAWI, Hazem Adel. Sphenopalatine ganglion block for post-dural puncture headache after invasive cerebrospinal fluid pressure monitoring. Case report. BrJP [online]. 2019, vol.2, n.4, pp.392-394.  Epub Dec 02, 2019. ISSN 2595-3192.  http://dx.doi.org/10.5935/2595-0118.20190072.

BACKGROUND AND OBJECTIVES:

Post-dural puncture headache is a common complication in neuraxial anesthesia and lumbar puncture diagnostic procedures. The pathogenesis of the headache is thought to be due to a leak of cerebrospinal fluid from the puncture site that exceeds the rate of cerebrospinal fluid production, causing a downward traction of the meninges and vasodilation of the meningeal vessels mediated by the autonomous nervous system. Nowadays, the conservative treatment involves hydration, and the use of caffeine, analgesics, hydrocortisone, gabapentin, and theophylline. However, an autologous epidural blood patch is considered the definitive treatment for post-dural puncture headache and has an efficacy of up to 75%. Since this procedure comes with intrinsic risks, an alternative is the sphenopalatine ganglion block.

CASE REPORT:

We describe a case report using a sphenopalatine ganglion block to treat post-dural puncture headache in a patient submitted to cerebrospinal fluid pressure monitoring with a subarachnoidal catheter inserted with a low-gauge needle.

CONCLUSION:

This is the first case report of a post-dural puncture headache caused by a subarachnoid monitoring catheter successfully treated with sphenopalatine ganglion block. This technique can be a non-invasive option in the management of post-dural puncture headache, which requires more study to evaluate its efficacy and safety.

Keywords : Headache; Post-dural puncture headache; Sphenopalatine ganglion block.

        · text in English     · English ( pdf )