Treatment of postdural puncture headache: clinical case

Abstract

The article describes a clinical case of the successful use of transnasal pterygopalatine ganglion blockade for the treatment of postdural puncture headache. The conditions for the application of this technique, the mechanism of its action, and the results are discussed. Results reveal the simplicity of the technical implementation of pterygopalatine ganglion blockade and the almost absent contraindications to its use, except for cases involving individual intolerance to topical anesthetic drugs. Hence, the technique can be an effective method for the complex therapy of postpunctional pain.

Keywords

postdural puncture headache / spinal anesthesia / transnasal pterygopalatine ganglion blockade

References

[1] Diener HC, Bendig M, Hempel V. Postpuncture headache. Fortschr Neurol Psychiatr. 1985;53(9):344–349. doi: 10.1055/s-2007-1001978 (In German).

[2] Diener H.C., Bendig M., Hempel V. Postpuncture headache // Fortschr Neurol Psychiatr. 1985. Vol. 53, N 9. P. 344–349. doi: 10.1055/s-2007-1001978 (In German).

[3] Arevalo-Rodriguez I, Munoz L, Godoy-Casasbuenas N, et al. Needle gauge and tip designs for preventing post-dural puncture headache (PDPH). Cochrane Database Syst Rev. 2017;4:CD010807. doi: 10.1002/14651858.CD010807.pub2

[4] Arevalo-Rodriguez I., Munoz L., Godoy-Casasbuenas N., et al. Needle gauge and tip designs for preventing post-dural puncture headache (PDPH) // Cochrane Database Syst Rev. 2017. Vol. 4, N. P. CD010807. doi: 10.1002/14651858.CD010807.pub2

[5] far.org.ru [Internet]. Clinical guidelines of the Federation of Anesthesiologists and Resuscitators “Post-puncture headache”, 2018 [cited 20 Jan 2021]. Available from: http://far.org.ru/recomendation?download=88%3Apunctheadache

[6] far.org.ru [интернет]. Клинические рекомендации Федерации анестезиологов и реаниматологов «Постпункционная головная боль». 2018 г. [дата обращения: 20.01.2021]. Доступ по ссылке: http://far.org.ru/recomendation?download=88%3Apunctheadache .

[7] Borovskih NA, Rozengard SA. Development ofpostspinai headache: risk factors. Vestnik Sankt-Peterburgskogo universiteta. Serii 11, Meditsina. 2006;(1):102–109. (In Russ).

[8] Боровских Н.А., Розенгард С.А. Факторы риска развития постспинальных головных болей // Вестник Санкт-Петербургского университета. Медицина. 2006. № 1. C. 102-109.

[9] Sluder G. The role of the sphenopalatine ganglion in nasal headaches. NY State J Med. 1908;(27):8–13.

[10] Sluder G. The role of the sphenopalatine ganglion in nasal headaches // NY State J Med. 1908. Vol. 27. P. 8–13.

[11] Grant R, Condon B, Hart I, Teasdale GM. Changes in intracranial CSF volume after lumbar puncture and their relationship to post-LP headache. J Neurol Neurosurg Psychiatry. 1991;54(5):440–442. doi: 10.1136/jnnp.54.5.440

[12] Grant R., Condon B., Hart I., Teasdale G.M. Changes in intracranial CSF volume after lumbar puncture and their relationship to post-LP headache // J Neurol Neurosurg Psychiatry. 1991. Vol. 54, N 5. P. 440–442. doi: 10.1136/jnnp.54.5.440

[13] Kent S, Mehaffey G. Transnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in obstetric patients. J Clin Anesth. 2016;34:194–196. doi: 10.1016/j.jclinane.2016.04.009

[14] Kent S., Mehaffey G. Transnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in obstetric patients // J Clin Anesth. 2016. Vol. 34, N. P. 194–196. doi: 10.1016/j.jclinane.2016.04.009

[15] Dubey P, Dubey PK. Intranasal lignocaine spray for sphenopalatine ganglion block for postdural puncture headache. Saudi J Anaesth. 2018;12(2):364–365. doi: 10.4103/sja.SJA_680_17

[16] Dubey P., Dubey P.K. Intranasal lignocaine spray for sphenopalatine ganglion block for postdural puncture headache // Saudi J Anaesth. 2018. Vol. 12, N 2. P. 364–365. doi: 10.4103/sja.SJA_680_17

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