• Headache · May 2010

    Case Reports

    Treatment of post-dural puncture headache with bilateral greater occipital nerve block.

    • Suna Akin Takmaz, Ciğdem Unal Kantekin, Cetin Kaymak, and Hülya Başar.
    • Ministry of Health Ankara Training and Research Hospital, 1st Anesthesiology and Reanimation Clinic, Ankara, Turkey.
    • Headache. 2010 May 1;50(5):869-72.

    Abstract(Headache 2010;50:869-881) Epidural blood patch is an effective treatment with a low complication rate. It is also an invasive method that can cause permanent neurological sequelae such as early and late back pain, radiculopathy, spinal-subdural hematoma, spinal-epiarachnoid hematoma, intrathecal hematoma, arachnoiditis, and infection. We report a case in which a postdural puncture headache resolved within 2 minutes of a greater occipital nerve block, a minimally invasive and easy procedure with a low complication rate. This case report suggests that a greater occipital nerve block may be a successful alternative treatment for patients with post-dural puncture headache.

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