• Korean J Pain · Apr 2018

    Review

    Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review.

    • Abhijit S Nair, Praveen Kumar Kodisharapu, Poornachand Anne, Mohammad Salman Saifuddin, Christopher Asiel, and Basanth Kumar Rayani.
    • Department of Anesthesiology and Pain Management, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, Telangana, India.
    • Korean J Pain. 2018 Apr 1; 31 (2): 80-86.

    AbstractThe Epidural blood patch is considered the gold standard for managing postdural puncture headache when supportive measures fail. However, it is a procedure which can lead to another inadvertent dural puncture. Other potential adverse events that could occur during a blood patch are meningitis, neurological deficits, and unconsciousness. The bilateral greater occipital nerve block has been used for treating chronic headaches in patients with PDPH with a single injection. This minimally invasive, simple procedure can be considered for patients early, along with other supportive treatment, and an epidural blood patch can be avoided.

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