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

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.

• Authors: Suna Akin Takmaz, Ciğdem Unal Kantekin, Cetin Kaymak, Hülya Başar
• Journal: Headache (Headache) Vol. 50 Issue 5 Pg. 869-72 (May 2010) ISSN: 1526-4610 [Electronic] United States
• PMID: 20353435 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Anesthesia, Spinal (adverse effects)
• Dura Mater (injuries)
• Headache (drug therapy, etiology)
• Humans
• Male
• Nerve Block (methods)
• Spinal Puncture (adverse effects)
• Subdural Effusion (complications, etiology)