Efficacy and potency of sphenopalatine ganglion block for the management of postdural puncture headaches in post-cesarean section: A case report and literature review.
cesarean section
epidural blood patch
postdural puncture headache
sphenopalatine ganglion block
spinal anesthesia
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
13 Oct 2024
13 Oct 2024
Historique:
received:
11
10
2023
accepted:
30
09
2024
medline:
14
10
2024
pubmed:
14
10
2024
entrez:
14
10
2024
Statut:
aheadofprint
Résumé
Spinal anesthesia is a widely practiced anesthetic technique during cesarean section but is associated with the risk of postdural puncture headache (PDPH). This article reports a case of refractory PDPH following a cesarean section that achieved immediate pain relief after a sphenopalatine ganglion block (SPGB). SPGB has been proposed as a non-invasive alternative to the traditional epidural blood patch for nonobstetrical PDPH, nonetheless, it is a procedure not commonly performed by obstetricians. By targeting the sphenopalatine ganglion, SPGB offers a viable treatment option for PDPH and provides immediate relief to patients. This case report and literature review suggest that SPGB is a promising, effective, and safe approach for managing PDPH after cesarean section. Considering SPGB as an alternative to epidural blood patch, obstetricians can offer noninvasive treatment options for patients with PDPH.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Osaka Medical Association: A Grant-in-aid for Perinatal Emergency Medical Care
Informations de copyright
© 2024 The Author(s). Journal of Obstetrics and Gynaecology Research published by John Wiley & Sons Australia, Ltd on behalf of Japan Society of Obstetrics and Gynecology.
Références
Zhang Q, Pang SY, Liu CW. Chronic headaches related to post‐dural puncture headaches: a scoping review. Br J Anaesth. 2022;129:747–757.
Baysinger CL, Pope JE, Lockhart EM, Mercaldo ND. The management of accidental dural puncture and postdural puncture headache: a North American survey. J Clin Anesth. 2011;23:349–360.
Turnbull DK, Shepherd DB. Post‐dural puncture headache: pathogenesis, prevention and treatment. Br J Anaesth. 2003;91:718–729.
Nair AS, Rayani BK. Sphenopalatine ganglion block for relieving postdural puncture headache: technique and mechanism of action of block with a narrative review of efficacy. Korean J Pain. 2017;30:93–97.
Marr R, Kapoor A, Redfern N. Epidural blood patch is the gold standard treatment for dural puncture headache. Br J Anaesth. 2012;109:288–289. author reply 289.
Windsor RE, Jahnke S. Sphenopalatine ganglion blockade: a review and proposed modification of the transnasal technique. Pain Physician. 2004;7:283–286.
Puthenveettil N, Rajan S, Mohan A, Paul J, Kumar L. Sphenopalatine ganglion block for treatment of post‐dural puncture headache in obstetric patients: an observational study. Indian J Anaesth. 2018;62:972–977.
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38:1–211.
Takmaz SA, Karaoğlan M, Baltacı B, Bektaş M, Başar H. Transnasal sphenopalatine ganglion block for management of postdural puncture headache in non‐obstetric patients. J Nippon Med Sch. 2021;88:291–295.
Dwivedi P, Singh P, Patel TK, Bajpai V, Kabi A, Singh Y, et al. Trans‐nasal sphenopalatine ganglion block for post‐dural puncture headache management: a meta‐analysis of randomized trials. Braz J Anesthesiol. 2023;73:782–793.
Stride PC, Cooper GM. Dural taps revisited. A 20‐year survey from Birmingham maternity hospital. Anaesthesia. 1993;48:247–255.
Angle P, Thompson D, Halpern S, Wilson DB. Second stage pushing correlates with headache after unintentional dural puncture in parturients. Can J Anaesth. 1999;46:861–866.
Peralta F, Devroe S. Any news on the postdural puncture headache front? Best Pract Res Clin Anaesthesiol. 2017;31:35–47.
Kwak KH. Postdural puncture headache. Korean J Anesthesiol. 2017;70:136–143.
Xu H, Liu Y, Song W, Kan SL, Liu FF, Zhang D, et al. Comparison of cutting and pencil‐point spinal needle in spinal anesthesia regarding postdural puncture headache: a meta‐analysis. Medicine (Baltimore). 2017;96:e6527.
Gupta A, Van de Velde M, Magnuson A, von Heymann C, Guasch E, Alahuhta S et al. Factors associated with failed epidural blood patch after accidental dural puncture in obstetrics: a prospective, multicentre, international cohort study. Br J Anaesth. 2022;129:758–766.