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Turk J Anaesthesiol Reanim · Dec 2020
Case ReportsPterygopalatine Ganglion Block as a Rescue Technique for Failed Epidural Blood Patch.
- Kevin R Olsen, M Anthony Cometa, and Yury Zasimovich.
- Department of Anaesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA.
- Turk J Anaesthesiol Reanim. 2020 Dec 1; 48 (6): 502-504.
AbstractPlacement of an epidural blood patch is the gold standard treatment for a postdural puncture headache when conservative measures have failed. If unsuccessful in relieving the symptoms, a second epidural blood patch may be warranted. However, when the accepted gold standard treatment has failed, alternative therapies may be pursued. A pterygopalatine ganglion block has been shown to be effective as an alternative to epidural blood patch placement. This case demonstrates the use of a suprazygomatic pterygopalatine ganglion block as a rescue technique for failed repeated epidural blood patch, with complete and permanent resolution of the headache.© Copyright 2020 by Turkish Anaesthesiology and Intensive Care Society.
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