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- Mahmoud M Alseoudy, Wael A Abd-Elmoaty, Eiad A Ramzy, Ibrahim Abdelbaser, and El-Sayed M El-Emam.
- From the Department of Anesthesia, Surgical Intensive Care, and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
- A A Pract. 2024 Apr 1; 18 (4): e01778e01778.
AbstractEven though epidural blood patch (EBP) is thought to be the definitive treatment for severe cases of postdural puncture headache (PDPH), it may be accompanied by complications like adhesion arachnoiditis, and cauda equina syndrome, especially if the injection is repeated. The sphenopalatine ganglion (SPG) block is a new minimally invasive technique for the treatment of PDPH, with variable results according to the clinical situation and deployed approach. We describe a case of PDPH resistant to EBP in which we successfully managed symptoms using ultrasound-guided suprazygomatic SPG block to deliver local anesthetic directly into pterygopalatine fossa, thus avoiding a second EBP.Copyright © 2024 International Anesthesia Research Society.
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