Why the study?
Does a sphenopalatine ganglion (SPG) nerve block using a J-tip style catheter improve refractory postdural puncture headache in a pediatric patient?
Does a sphenopalatine ganglion (SPG) nerve block using a J-tip style catheter improve refractory postdural puncture headache in a pediatric patient?
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An SPG block using a J-tip catheter may be an effective, noninvasive treatment for refractory postdural puncture headache in pediatric patients when epidural blood patches fail.
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.
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Bansal et al. (2024) studied this question.
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