Bilateral greater occipital nerve block for treatment of post-dural puncture headache after caesarean operations

Türkyilmaz, Esra; Güzey, Nihan Aydın; Moraloğlu, Özlem

doi:10.1016/j.bjane.2015.03.004

Cited by 18 publications

(36 citation statements)

References 28 publications

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“…A study of greater occipital nerve block for the treatment of PDPH showed beneficial effects in reducing pain severity, although the evidence is limited. Several authors have suggested its use as an alternative to an epidural blood patch since it is less invasive and leads to prompt symptom relief [8586]. …”

Section: Treatmentmentioning

confidence: 99%

Postdural puncture headache

Kwak

2017

Korean J Anesthesiol

125

115

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Postdural puncture headache (PDPH) is a common complication after inadvertent dural puncture. Risks factors include female sex, young age, pregnancy, vaginal delivery, low body mass index, and being a non-smoker. Needle size, design, and the technique used also affect the risk. Because PDPH can be incapacitating, prompt diagnosis and treatment are mandatory. A diagnostic hallmark of PDPH is a postural headache that worsens with sitting or standing, and improves with lying down. Conservative therapies such as bed rest, hydration, and caffeine are commonly used as prophylaxis and treatment for this condition; however, no substantial evidence supports routine bed rest and aggressive hydration. An epidural blood patch is the most effective treatment option for patients with unsuccessful conservative management. Various other prophylactic and treatment interventions have been suggested. However, due to a lack of conclusive evidence supporting their use, the potential benefits of such interventions should be weighed carefully against the risks. This article reviews the current literature on the diagnosis, risk factors, pathophysiology, prevention, and treatment of PDPH.

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Section: Treatmentmentioning

confidence: 99%

Postdural puncture headache

Kwak

2017

Korean J Anesthesiol

125

115

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“…[24] Furthermore, the efficacy of the block also has been shown in the post-dural puncture headache. [25,26] We have emphasized in our study that one of the causes of the headache might be lumbar spinal drainage. In this case, we think that headache is caused by a similar mechanism with post-dural puncture headache.…”

Section: Although Aneurysmatic Sah Patients Treated Withmentioning

confidence: 70%

Ultrasound-guided bilateral greater occipital nerve block on headache seen after endovascular treatment of ruptured or unruptured intracranial aneurysms. A case report.

Doğan¹

2018

Agri

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SAK olgularında başağrısı sık görülen semptomdur. Çoğu zaman ağrı kontrolü güç olmakta ve opioid kullanılarak hastanın şuur durumu daha karmaşık hale gelmektedir. Çalışmada, ultrason eşliğinde bilateral büyük oksipital sinir bloğu ile intrakraniyal anevrizmaların endovasküler tedavisi (EVT) sonrası görülen başağrısının etkili kontrolünü ve opioid tüketimini azaltmayı amaçladık. Olgu1-Fisher 3 grade SAK tanısıyla gelen, GKS: 13 olan 59 yaşında erkek hastaya, anteriör kominikan arterde anevrizma nedeniyle koilizasyon ve stent uygulaması yapıldı. Lomber spinal kateterle BOS drenajı sağlandı. Olgu 2-Baziller arter anevrizması nedeniyle, sol baziller arterde fusiform anevrizmaya koilizasyon ve stenotik bölgeye stent uygulanan GKS: 15 olan 55 yaş erkek hasta değerlendirildi. VAS skorları sırasıyla 9-7 olan hastalara, ultrasound eşliğinde bilateral büyük oksipital sinir bloğu sağlandı. Her iki hastanın VAS skoru 3 ün altına düştü. Skor takip boyunca 3'ü aşmadı ve ek analjezik ihtiyacı olmadı. Sonuç olarak, iki olguda da bilateral oksipital sinir bloğu ile etkili analjezi sağlanmıştır ve ek analjezik ihtiyacı çok azalmıştır.

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Section: Introductionmentioning

confidence: 99%

“…Bilateral greater occipital nerve block (BGON) has been reported for the successful treatment of PDPH [3][4][5]. Authors suggest that treatment of PDPH with BGON block seems to be a minimally invasive, easy and effective method and may be considered before the application of a blood patch [5]. The analgesia obtained after the BGON block may be explained by the central neuromodulatory effect that causes decreased central sensitization due to the temporary interruption of afferent input to the dorsal roots and trigeminal nucleus [5,6].…”

Section: Introductionmentioning

confidence: 99%

Bilateral greater Occipital Nerve Block for Headache after corrective Spinal Surgery: A Case Report

Neto¹,

Martínez

DeKoven

et al. 2017

Glob J Anesth

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Bilateral greater occipital nerve block for treatment of post-dural puncture headache after caesarean operations

Abstract: Treatment of PDPH with GON block seems to be a minimal invasive, easy and effective method especially after caesarean operations. A GON block may be considered before the application of a blood patch.

Cited by 18 publications

References 28 publications

Postdural puncture headache

Postdural puncture headache

Ultrasound-guided bilateral greater occipital nerve block on headache seen after endovascular treatment of ruptured or unruptured intracranial aneurysms. A case report.

Bilateral greater Occipital Nerve Block for Headache after corrective Spinal Surgery: A Case Report

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