Transnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in obstetric patients

Sphenopalatine ganglion block for relieving postdural puncture headache: technique and mechanism of action of block with a narrative review of efficacy

“…The authors suggested that the procedure can be safely and accurately performed in the emergency room which will reduce the visit time, provide good pain relief, and the EBP can be deferred. Recently, Kent and Mehaffey [16] published their experience with 3 parturients diagnosed with PDPH who were offered an SPG block trans-nasally. All 3 patients had good pain relief and none of them required an EBP.…”

Is Central Neuraxial Block Advisable in a Patient With Preexisting Ocular Motor Palsy?

“…According to the authors, subarachnoid anesthesia was precluded to avoid exacerbating the preexisting palsy or affecting other oculomotor nerves (III and IV). 4 With this clinical case, they suggest that there is a preferred anesthetic approach when ocular motor palsy exists. Currently, however, there is no guide or protocol available to follow in this circumstance.…”

“…In the presence of postdural puncture headache, a minimally invasive transmucosal bilateral sphenopalatine ganglion block may be effective. 4 Abhijit S. Nair, MD To the Editor:…”

Topical Sphenopalatine Ganglion Block Compared With Epidural Blood Patch for Postdural Puncture Headache Management in Postpartum Patients

“…9 Several small case series and retrospective studies have demonstrated this to be an effective treatment for PDPH in obstetric patients. [10][11][12] There have been no reports of serious complications from this procedure. 8 At our institution, we have had great success with treating tension headaches, migraines, neck and low back spasm, and PDPH with SPGB.…”