Turkish journal of anaesthesiology and reanimation
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Turk J Anaesthesiol Reanim · Dec 2020
Case ReportsPterygopalatine Ganglion Block as a Rescue Technique for Failed Epidural Blood Patch.
Placement 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. ⋯ 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.