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- Inês F Furtado, Mariana M Pinto, and Pedro Amorim.
- From the Anesthesiology, Intensive Care and Emergency Department, Centro Hospitalar do Porto, Porto, Portugal.
- A A Pract. 2019 Jun 3; 12 (11): 401-402.
AbstractA 20-year-old man submitted to surgical insertion of a lumboperitoneal drain as a treatment for intracranial hypertension, secondary to venous sinus thrombosis, developed severe headache accompanied by nausea, vomiting, and diplopia 24 hours postoperative. Cerebral spinal fluid low-pressure headache was diagnosed. A transnasal sphenopalatine ganglion block with ropivacaine was performed without complications. Pain relief was immediate, complete, and sustained for about 24 hours; a second block was performed effectively with pain control, and the patient was discharged. Sphenopalatine ganglion block may be a safe and efficient treatment for the cerebral spinal fluid hypotension headache secondary to lumboperitoneal shunt.
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