Sphenopalatine ganglion block in combination with greater and lesser occipital nerve blocks for the management of post dural puncture headache

The mechanism of nociception in PDPH is debated; however, it is thought to be related to decreased intracranial pressure caused by a downward pull of intracranial nociceptive structures, further exacerbated by compensatory vasodilation of cerebral [1]. The sphenopalatine ganglion (SPG), surrounded b...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2019-02, Vol.52, p.69-70
Main Authors: Urits, Ivan, Viswanath, Omar, Orhurhu, Vwaire, Petro, Julie, Cai, Viet
Format: Article
Language:English
Subjects:
Headaches
Patients
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Summary:The mechanism of nociception in PDPH is debated; however, it is thought to be related to decreased intracranial pressure caused by a downward pull of intracranial nociceptive structures, further exacerbated by compensatory vasodilation of cerebral [1]. The sphenopalatine ganglion (SPG), surrounded by mucous membrane within the posterior nasal turbinate, is a parasympathetic ganglion of CN VII which mediates intracranial vasodilation. Larger prospective studies are needed in these patient populations to evaluate the viability of cranial nerve and spinal nerve blocks as an alternative or adjunct to EBP.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2018.09.015