Abstract | BACKGROUND AND OBJECTIVE: METHODS: Ultrasound-guided bilateral occipital nerve block was administrated in 21 patients who developed PDPH after spinal anesthesia, but did not respond to conservative medical treatment within 48 hours between January 2012 and February 2014. The study was conducted at Erzincan University Faculty of Medicine Gazi Mengucek Education and Research Hospital. RESULTS: Mean Visual Analog Scale (VAS) pain scores at 10 minutes and 6, 10, 15 and 24 hours after the block were significantly improved compared to the patients with a pre-block VAS score between 4 and 6 as well as patients with a pre-block VAS score between 7 and 9 (p<0.01). After 24 hours of the block applied, VAS pain score dropped to 1 for all 12 patients who had a pre-block VAS score between 4 and 6. Whereas, VAS score decreased to 2 at 24 hours after the block in only one of the patients with a pre-block VAS between 7 and 9. For the patients with a pre-block VAS score between 7 and 9, there was no significant improvement in the mean VAS score 24 hours after the block. CONCLUSIONS: For patients with PDPH and a pre-block VAS score between 4 and 6 who do not respond to conservative medical treatment, an ultrasound-guided bilateral occipital nerve block may be effective.
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Authors | Fethi Akyol, Orhan Binici, Ufuk Kuyrukluyildiz, Guldane Karabakan |
Journal | Pakistan journal of medical sciences
(Pak J Med Sci)
2015 Jan-Feb
Vol. 31
Issue 1
Pg. 111-5
ISSN: 1682-024X [Print] Pakistan |
PMID | 25878625
(Publication Type: Journal Article)
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