Postdural Puncture Headaches in Pediatric Patients: A Review of Options When Repeated Epidural Blood Patches Do Not Work

We present the case of an adolescent with refractory postdural puncture headache (PDPH), whose symptoms resolved with a sphenopalatine ganglion (SPG) nerve block using a J-tip style catheter. Our patient was treated with multiple modalities, including conservative and medical management, multiple ep...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-06, Vol.16 (6), p.e62833
Main Authors: Bansal, Vipin, D'Souza, Genevieve, Aladade, Emmanuel, McFarlane, Danielle M, Agarwal, Rita
Format: Article
Language:English
Subjects:
Adults
Anesthesiology
Bone cancer
Caffeine
Case reports
Catheters
Cotton
Diplopia
Epidural
Females
General anesthesia
Headaches
Hypotension
Nausea
Neurosurgery
Pain
Pain Management
Pathophysiology
Patients
Pediatrics
Success
Surgery
Vomiting
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Description
Summary:We present the case of an adolescent with refractory postdural puncture headache (PDPH), whose symptoms resolved with a sphenopalatine ganglion (SPG) nerve block using a J-tip style catheter. Our patient was treated with multiple modalities, including conservative and medical management, multiple epidural blood patches, and different nerve blocks. We discussed different treatments for the PDPH, why each modality did not work, and why our SPG block with a J-tip catheter possibly provided a better sympathetic block in a patient with intractable PDPH for two weeks.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.62833