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- Danielle Levin, Shaul Cohen, Scott Mellender, and Geza Kiss.
- From the Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
- A A Pract. 2018 Jul 15; 11 (2): 32-34.
AbstractA 32-year-old woman at 36 weeks gestation with a medical history of corrected Type 1 Arnold Chiari malformation presented with an intractable headache. When methylprednisolone and morphine treatment provided no relief, we performed 2 topical transnasal sphenopalatine ganglion blocks by applying 4% lidocaine drops into each nostril via a cotton-tipped applicator. The patient's symptoms significantly improved, and she was discharged home the same day. She has been without relapse of headaches during the 6 months of follow-up by our pain service.
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