• Rev Bras Anestesiol · Sep 2020

    Case Reports

    [Self-applied sphenopalatine ganglion block for postdural puncture headache: four case reports].

    • Andrés Rocha-Romero, Priodarshi Roychoudhury, Rodrigo Benavides Cordero, and Maynor Lopez Mendoza.
    • Hospital de Trauma San Jose, Centro Nacional de Rehabilitación, San Jose, Costa Rica. Electronic address: rocharomeroandres@gmail.com.
    • Rev Bras Anestesiol. 2020 Sep 1; 70 (5): 561-564.

    Background And ObjectivesThe Sphenopalatine Ganglion Block (SGB) is an effective, low-risk treatment option for Postdural Puncture Headache (PDPH) refractory to conservative management.Case ReportThis report presents four complex cases of patients with headache related to low cerebrospinal fluid pressure. Three of them were successfully treated with the application of local anesthetic topical drops through the nasal cavity.ConclusionThe novel approach described in this report has minimal risks of discomfort or injury to the nasal mucosa. It is quick to apply and can be administered by the patient himself.Copyright © 2020 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

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