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June 21, 2024CureusOpen Access

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

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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?

Comparison

Sphenopalatine ganglion nerve block using a J-tip style catheter

Design

Case report

Authors

VBVipin BansalGDGenevieve D’SouzaEAEmmanuel Aladade

Discussion

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Overview

SPG block with J-tip catheter may relieve refractory PDPH after failed therapies; hypothesis-generating and requires prospective validation before practice change.

Structured PICO

Does a sphenopalatine ganglion (SPG) nerve block using a J-tip style catheter improve refractory postdural puncture headache in a pediatric patient?

P
Population
14-year-old female (n=1) with localized osteosarcoma and refractory postdural puncture headache (PDPH) following epidural placement for lower extremity orthopedic surgery.
I
Intervention
Sphenopalatine ganglion (SPG) nerve block using a J-tip style catheter with a total of 5 cc of 0.5% ropivacaine.
O
Outcome
Resolution of headache symptoms and ability to sit up.patient reported

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.

Cite This Study

Bansal et al. (2024) studied this question.

synapsesocial.com/papers/6a70d24f35aa2c282ce22522https://doi.org/10.7759/cureus.62833
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Avoiding Invasive Measures: Sphenopalatine Ganglion Block as a Substitute for Epidural Blood Patch in Post-dural Puncture Headache: A Case Report2024
  2. 2Management of Post-Dural Puncture Headaches in Pediatric Patients with Epidural Blood or Saline Patch: An Educational Focused Review2024 · 1 citations
  3. 3Ultrasound-Guided Suprazygomatic Sphenopalatine Ganglion Block for Postdural Puncture Headache Resistant to Epidural Blood Patch: A Case Report2024 · 1 citations
  4. 4Case Report on the Efficacy of Transnasal Sphenopalatine Ganglion Block for the Treatment of Severe Post-Dural Puncture Headache after Failed Subarachnoid Block2024
  5. 5Sphenopalatine Ganglion Block for Postdural Puncture Headache in the Obstetric Population: A Narrative Review2026