Author(s)

Shivani Manohara^*, Yean Chin Lim

Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore.

Background: Post dural puncture headache (PDPH) is a known and potentially debilitating complication of neuraxial anesthesia that can impede patient recovery. The conventional treatment includes hydration and symptomatic treatment like simple analgesics. Those who have unremitting symptoms following conservative measures are offered an epidural blood patch (EBP). However, EBP, an invasive procedure, is associated with complications in itself. Case: We report a 40-year-old man who experienced PDPH after spinal anesthesia. His symptoms recurred after conservative management was instituted. He was then offered a trans-nasal sphenopalatine ganglion (SPG) block. He had excellent pain relief and did not require an EBP. Conclusion: SPG blocks can be considered early in the treatment of PDPH together with general supportive measures. However, if pain relief is not achieved, an epidural blood patch should still be considered.

Pain Management, Postdural Puncture Headache, Sphenopalatine Ganglion Block

Manohara, S. and Lim, Y. (2022) Bilateral Sphenopalatine Ganglion Block for the Treatment of Post Dural Puncture Headache: A Case Report. Open Journal of Anesthesiology, 12, 1-7. doi: 10.4236/ojanes.2022.121001.