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Current Pain and Headache Reports
Published in: Current Pain and Headache Reports 6/2022

30-03-2022 | Headache | Acute Pain Medicine (R Urman, Section Editor)

Postdural Puncture Headache—Risks and Current Treatment

Authors: Huili Li, Yun Wang, Adriana D. Oprea, Jinlei Li

Published in: Current Pain and Headache Reports | Issue 6/2022

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Abstract

Purpose of Review

This manuscript aims to review the risks and the current treatments for postdural puncture headache (PDPH).

Recent Findings

PDPH is a relatively frequent complication after neuraxial blocks. It is typically orthostatic in nature, presenting as a positional and dull aching or throbbing headache, with added dysregulation of auditory and/or visual signals. Certain characteristics, such as female sex and young age, may predispose patients to the development of PDPH, as may factors such as previous PDPH, bearing down during the second stage of labor, and the neuraxial technique itself. Long-term complications including chronic headache for years following dural puncture have brought into question of the historical classification of PDPH as a self-limiting headache. So far, the underlying mechanism governing PDPH remains under investigation, while a wide variety of prophylactic and therapeutic measures have been explored with various degree of success.

Summary

In case of mild PDPH, conservative management involving bed rest and pharmacological management should be used as first-line treatment. Nerve blocks are highly efficient alternatives for PDPH patients who do not respond well to conservative treatment. In case of moderate-to-severe PDPH, epidural blood patch remains the therapy of choice. An interdisciplinary approach to care for patients with PDPH is recommended to achieve optimal outcomes.
Literature
1.
Sachs A, Smiley R. Post-dural puncture headache: the worst common complication in obstetric anesthesia. Semin Perinatol. 2014;38:386–94.PubMedCrossRef
2.
Karakurum Göksel B, Tanburoğlu A, Karataş M, Altınkaya N. Late recurrence of post-dural puncture headache. Agri. 2021;33(4):261–4.PubMed
3.
Pirbudak L, Uğur MG, Kaya Uğur B, Kul S, Ganidağlı S. Evaluation of affecting factors and the effectiveness of treatment in cases with post-dural puncture headache who underwent epidural blood patch. Agri. 2014;26(3):101–6.PubMedCrossRef
4.
Loures V, Savoldelli G, Kern K, Haller G. Atypical headache following dural puncture in obstetrics. Int J Obstet Anesth. 2014;23(3):246–52.PubMedCrossRef
5.
Ravn A, Lyckhage LF, Jensen R. Post-dural puncture headache. Ugeskr Laeger. 2018;180(20):V10170805.PubMed
6.
Kocarev M, Khalid F, Khatoon F, Fernando R. Neuraxial labor analgesia: a focused narrative review of the 2017 literature. Curr Opin Anaesthesiol. 2018;31(3):251–7.PubMedCrossRef
7.
Abrecht CR, Saba R, Greenberg P, Rathmell JP, Urman RD. A contemporary medicolegal analysis of outpatient interventional pain procedures: 2009–2016. Anesth Analg. 2019;129(1):255–62.PubMedCrossRef
8.
Jeon JY, Jeong YM, Lee SW, Kim JH, Choi HY, Ahn Y. The termination level of the dural sac relevant to caudal epidural block in lumbosacral transitional vertebrae: a comparison between sacralization and lumbarization groups. Pain Physician. 2018;21(1):73–82.PubMedCrossRef
9.
• Arevalo-Rodriguez I, Muñoz L, Godoy-Casasbuenas N, Ciapponi A, Arevalo JJ, et al. Needle gauge and tip designs for preventing post-dural puncture headache (PDPH). Cochrane Database Syst Rev. 2017;4(4):CD010807. This is a great paper discussing the effect of needle gauge and tip designs on PDPH.
10.
D’Angelo R, Smiley RM, Riley ET, Segal S. Serious complications related to obstetric anesthesia: the serious complication repository project of the Society for Obstetric Anesthesia and Perinatology. Anesthesiology. 2014;120(6):1505–12.PubMedCrossRef
11.
Bradbury CL, Singh SI, Badder SR, Wakely LJ, Jones PM. Prevention of post-dural puncture headache in parturients: a systematic review and meta-analysis. Acta Anaesthesiol Scand. 2013;57(4):417–30.PubMedCrossRef
12.
Hustak EC, Engle MP, Viswanathan A, Koyyalagunta D. Lumbar subarachnoid hematoma following an epidural blood patch for meningeal puncture headache related to the implantation of an intrathecal drug delivery system. Pain Physician. 2014;17(3):E405–11.PubMed
13.
Katz D, Beilin Y. Review of the alternatives to epidural blood patch for treatment of postdural puncture headache in the parturient. Anesth Analg. 2017;124(4):1219–28.PubMedCrossRef
14.
Haller G, Cornet J, Boldi MO, Myers C, Savoldelli G, Kern C. Risk factors for post-dural puncture headache following injury of the dural membrane: a root-cause analysis and nested case-control study. Int J Obstet Anesth. 2018;36:17–27.PubMedCrossRef
15.
Wright BL, Lai JT, Sinclair AJ. Cerebrospinal fluid and lumbar puncture: a practical review. J Neurol. 2012;259(8):1530–45.PubMedCrossRef
16.
Hofer JE, Scavone BM. Cranial nerve VI palsy after dural-arachnoid puncture. Anesth Analg. 2015;120(3):644–6.PubMedCrossRef
17.
Stewart DE, Vigod SN. Postpartum depression: pathophysiology, treatment, and emerging therapeutics. Annu Rev Med. 2019;70:183–96.PubMedCrossRef
18.
Orbach-Zinger S, Ashwal E, Hazan L, Bracco D, Ioscovich A, Hiersch L. Risk factors for unintended dural puncture in obstetric patients: a retrospective cohort study. Anesth Analg. 2016;123(4):972–6.PubMedCrossRef
19.
Bos EM, van der Lee K, Haumann J, de Quelerij M, Vandertop WP, Kalkman CJ. Intracranial hematoma and abscess after neuraxial analgesia and anesthesia: a review of the literature describing 297 cases. Reg Anesth Pain Med. 2021;46(4):337–43.PubMedPubMedCentralCrossRef
20.
Moore AR, Wieczorek PM, Carvalho JCA. Association between post-dural puncture headache after neuraxial anesthesia in childbirth and intracranial subdural hematoma. JAMA Neurol. 2020;77(1):65–72.PubMedCrossRef
21.
•• Niraj G, Mushambi M, Gauthama P, Patil A, Kelkar A, Hart E, et al. Persistent headache and low back pain after accidental dural puncture in the obstetric population: a prospective, observational, multicentre cohort study. Anaesthesia. 2021;76(8):1068–76. This is a great paper discussing the long-term outcomes of PDPH.
22.
23.
Webb CA, Weyker PD, Zhang L, Stanley S, Coyle DT, Tang T, et al. Unintentional dural puncture with a Tuohy needle increases risk of chronic headache. Anesth Analg. 2012;115(1):124–32.PubMedCrossRef
24.
Vivekanantham A, Edwin C, Pincus T, Matharu M, Parsons H, Underwood M. The association between headache and low back pain: a systematic review. J Headache Pain. 2019;20(1):82.PubMedPubMedCentralCrossRef
25.
Ranganathan P, Golfeiz C, Phelps AL, Singh S, Shnol H, Paul N, et al. Chronic headache and backache are long-term sequelae of unintentional dural puncture in the obstetric population. J Clin Anesth. 2015;27(3):201–6.PubMedCrossRef
26.
•• Ljubisavljevic S. Postdural puncture headache as a complication of lumbar puncture: clinical manifestations, pathophysiology, and treatment. Neurol Sci. 2020;41(12):3563–8. This is a great review to give a comprehensive knowledge of the risk factors, pathophysiological, diagnostic, differentially diagnostic, and therapeutic aspects of PDPH.PubMedCrossRef
27.
•• Patel R, Urits I, Orhurhu V, Orhurhu MS, Peck J, Ohuabunwa E, et al. A comprehensive update on the treatment and management of postdural puncture headache. Curr Pain Headache Rep. 2020;24(6):24. This is a great review discussing the treatment and management of postdural puncture headache.PubMedCrossRef
28.
29.
• Bezov D, Ashina S, Lipton R. Post-dural puncture headache: part II--prevention, management, and prognosis. Headache. 2010;50(9):1482–98. This is a great paper discussing the prevention, management and prognosi of PDPH.
30.
Vakharia SB, Thomas PS, Rosenbaum AE, Wasenko JJ, Fellows DG. Magnetic resonance imaging of cerebrospinal fluid leak and tamponade effect of blood patch in postdural puncture headache. Anesth Analg. 1997;84(3):585–90.PubMed
31.
Bezov D, Lipton RB, Ashina S. Post-dural puncture headache: part I diagnosis, epidemiology, etiology, and pathophysiology. Headache. 2010;50(7):1144–52.PubMedCrossRef
32.
Kuczkowski KM. The management of accidental dural puncture in pregnant women: what does an obstetrician need to know? Arch Gynecol Obstet. 2007;275(2):125–31.PubMedCrossRef
33.
Turnbull DK, Shepherd DB. Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anaesth. 2003;91(5):718–29.PubMedCrossRef
34.
Wu CL, Rowlingson AJ, Cohen SR, Michaels RK, Courpas GE, Joe EM, et al. Gender and post-dural puncture headache. Anesthesiology. 2006;105(3):613–8.PubMedCrossRef
35.
DelPizzo K, Luu T, Fields KG, Sideris A, Dong N, Edmonds C, et al. Risk of postdural puncture headache in adolescents and adults. Anesth Analg. 2020;131(1):273–9.PubMedPubMedCentralCrossRef
36.
Franz AM, Jia SY, Bahnson HT, Goel A, Habib AS. The effect of second-stage pushing and body mass index on postdural puncture headache. J Clin Anesth. 2017;37:77–81.PubMedCrossRef
37.
Faure E, Moreno R, Thisted R. Incidence of postdural puncture headache in morbidly obese parturients. Reg Anesth. 1994;19(5):361–3.PubMed
38.
Peralta F, Higgins N, Lange E, Wong CA, McCarthy RJ. The relationship of body mass index with the incidence of postdural puncture headache in parturients. Anesth Analg. 2015;121(2):451–6.PubMedCrossRef
39.
Dodge HS, Ekhator NN, Jefferson-Wilson L, Fischer M, Jansen I, Horn PS, et al. Cigarette smokers have reduced risk for post-dural puncture headache. Pain Physician. 2013;16(1):E25-30.PubMed
40.
Xu H, Liu Y, Song W, Kan S, Liu F, Zhang D, et al. Comparison of cutting and pencil-point spinal needle in spinal anesthesia regarding postdural puncture headache: A meta-analysis. Medicine(Baltimore). 2017;96(14):e6527.
41.
Lee SI, Sandhu S, Djulbegovic B, Mhaskar RS. Impact of spinal needle type on postdural puncture headache among women undergoing Cesarean section surgery under spinal anesthesia: A meta-analysis. J Evid Based Med. 2018;11(3):136–44.PubMedCrossRef
42.
Zorrilla-Vaca A, Mathur V, Wu CL, Grant MC. The impact of spinal needle selection on postdural puncture headache: a meta-analysis and metaregression of randomized studies. Reg Anesth Pain Med. 2018;43(5):502–8.PubMed
43.
Zhang D, Chen L, Chen X, Wang X, Li Y, Ning G, et al. Lower incidence of postdural puncture headache using whitacre spinal needles after spinal anesthesia: a meta-analysis. Headache. 2016;56(3):501–10.PubMedCrossRef
44.
•• Nath S, Koziarz A, Badhiwala JH, Alhazzani W, Jaeschke R, Sharma S, et al. Atraumatic versus conventional lumbar puncture needles: a systematic review and meta-analysis. Lancet. 2018;391(10126):1197–04. This is a thorough systemic review and meta-analysis of lumbar puncture needles.
45.
Tubben RE, Jain S, Murphy PB (2021) Epidural blood patch. In: Stat Pearls [Internet] Stat Pearl Publ Treas Island (FL).
46.
Lybecker H, Møller JT, May O, Nielsen HK. Incidence and prediction of postdural puncture headache. A prospective study of 1021 spinal anesthesias. Anesth Analg. 1990;70(4):389–94.
47.
West JR, Oliver M. Does needle gauge or tip design prevent postdural puncture headache? Ann Emerg Med. 2019;74(2):297–9.PubMedCrossRef
48.
Crock C, Orsini F, Lee KJ, Phillips RJ. Headache after lumbar puncture: randomised crossover trial of 22-gauge versus 25-gauge needles. Arch Dis Child. 2014;99(3):203–7.PubMedCrossRef
49.
Landau R, Ciliberto CF, Goodman SR, Kim-Lo SH, Smiley RM. Complications with 25-gauge and 27-gauge Whitacre needles during combined spinal-epidural analgesia in labor. Int J Obstet Anesth. 2001;10(3):168–71.PubMedCrossRef
50.
Morros-Viñoles C, Pérez-Cuenca MD, Cedó-Lluís E, Colls C, Bueno J, Cedó-Vallobá F. Comparison of efficacy and complications of 27G and 29G Sprottte needles for subarachnoid anesthesia. Rev Esp Anestesiol Reanim. 2002;49(9):448–54.PubMed
51.
Richman JM, Joe EM, Cohen SR, Rowlingson AJ, Michaels RK, Jeffries MA, et al. Bevel direction and postdural puncture headache: a meta-analysis. Neurologist. 2006;12(4):224–8.
52.
Bıçak M, Salık F, Akelma H. Is there an effect on the development of postdural puncture headache of dural punction made with the spinal needle in three different orientations during spinal anaesthesia applied yo pregnant patients? J Pain Res. 2019;12:3167–74.PubMedPubMedCentralCrossRef
53.
Zorrilla-Vaca A, Makkar JK. Effectiveness of lateral decubitus position for preventing post-dural puncture headache: a meta-analysis. Pain Physician. 2017;20(4):E521–9.PubMedCrossRef
54.
Dogan M, Turker H, Ugurlu M, Ergun F, Bozkurt M. Do peroperative supine and prone positions have an effect on postspinal headache incidence? Neurosciences (Riyadh). 2005;10(1):64–7.
55.
Davoudi M, Tarbiat M, Ebadian MR, Hajian P. Effect of position during spinal anesthesia on postdural puncture headache after cesarean section: a prospective, single-blind randomized clinical trial. Anesth Pain Med. 2016;6(4):e35486.
56.
Dupoiron D, Narang S, Seegers V, Lebrec N, Boré F, Jaoul V, et al. Preventing post dural puncture headache after intrathecal drug delivery system implantation through preventive fibrin glue application: a retrospective study. Pain Physician. 2021;24(2):E211–20.PubMed
57.
Arevalo-Rodriguez I, Ciapponi A, Roqué i Figuls M, Muñoz L, Bonfill CX. Posture and fluids for preventing post-dural puncture headache. Cochrane Database Syst Rev. 2016;3:CD009199.
58.
Russell R, Laxton C, Lucas DN, Niewiarowski J, Scrutton M, Stocks G. Treatment of obstetric post-dural puncture headache. Part 1: conservative and pharmacological management. Int J Obstet Anesth. 2019;38:93–103.
59.
Basurto Ona X, Osorio D, Bonfill Cosp X. Drug therapy for treating post-dural puncture headache. Cochrane Database Syst Rev. 2015;2015(7):CD007887.
60.
Baratloo A, Rouhipour A, Forouzanfar MM, Safari S, Amiri M, Negida A. The role of caffeine in pain management: a brief literature review. Anesthesiol Pain Med. 2016;6(3):e33193.
61.
Baumgarten RK. Should caffeine become the first-line treatment for postdural puncture headache?. Anesth Analg. 1987;66(9):913–4.PubMedCrossRef
62.
Basurto Ona X, Martínez García L, Solà I, Bonfill Cosp X. Drug therapy for treating post-dural puncture headache. Cochrane Database Syst Rev. 2011;(8):CD007887.
63.
Erol DD. The effect of oral gabapentin on postdural puncture headache. Acute Pain. 2006;8(4):169–73.CrossRef
64.
Erol DD. The analgesic and antiemetic efficacy of gabapentin or ergotamine/caffeine for the treatment of postdural puncture headache. Adv Med Sci. 2011;56(1):25–9.PubMedCrossRef
65.
Mahoori A, Noroozinia H, Hasani E, Saghaleini H. Comparing the effect of pregabalin, gabapentin, and acetaminophen on post-dural puncture headache. Saudi J Anaesth. 2014;8(3):374–7.PubMedPubMedCentralCrossRef
66.
Kumar A, Kumar A, Sinha C, Anant M, Singh JK. Dexmedetomidine nebulization: an answer to post-dural puncture headache? Int J Obstet Anesth. 2019;40:155–6.PubMedCrossRef
67.
Mowafy SMS, Ellatif SEA. Effectiveness of nebulized dexmedetomidine for treatment of post-dural puncture headache in parturients undergoing elective cesarean section under spinal anesthesia: a randomized controlled study. J Anesth. 2021;35(4):515–24.PubMedCrossRef
68.
Noyan Ashraf MA, Sadeghi A, Azarbakht Z, Salehi S, Hamediseresht E. Evaluation of intravenous hydrocortisone in reducing headache after spinal anesthesia: a double blind controlled clinical study [corrected]. Middle East J Anaesthesiol. 2007;19(2):415–22.PubMed
69.
70.
Choi HR, Fuller B, Bottros MM. Successful transforaminal epidural blood patch in a patient with multilevel spinal fusion. Reg Anesth Pain Med. 2020;45(9):746–9.PubMedCrossRef
71.
Russell R, Laxton C, Lucas DN, Niewiarowski J, Scrutton M, Stocks G. Treatment of obstetric post-dural puncture headache. Part 2: epidural blood patch. Int J Obstet Anesth. 2019;38:104–18.
72.
Paech MJ, Doherty DA, Christmas T, Wong CA. The volume of blood for epidural blood patch in obstetrics. Anesth Analg. 2011;113(1):126–33.PubMedCrossRef
73.
Imerci A, Rogers K, Dixit D, McManus M, Miller F, Sees JP. The effectiveness of epidural blood patch in patients with cerebral palsy treated with intrathecal baclofen implantation. Paediatr Anaesth. 2020;30(2):153–60.PubMedCrossRef
74.
Shear T, Ahmed SU. Epidural blood patch for chronic daily headache with postural component: a case report and the review of published cases. Pain Physician. 2008;11(1):77–80.PubMed
75.
Morgan KJ, Mohan R, Karol SE, Flerlage J. Epidural blood patch for post-dural puncture headaches in adult and paediatric patients with malignancies: a review. Br J Anaesth. 2021;126(6):1200–7.PubMedCrossRef
76.
Roy-Gash F, Engrand N, Lecarpentier E, Bonnet MP. Intrathecal hematoma and arachnoiditis mimicking bacterial meningitis after an epidural blood patch. Int J Obstet Anesth. 2017;32:77–81.PubMedCrossRef
77.
Atallah J, Gage E, Koning J, Duggan J, Ramsey-Williams V, Scott S, et al. Treatment of post-dural puncture headache using epidural injection of fibrin sealant as an alternative to autologous epidural blood patch (case report). Scand J Pain. 2014;5(3):170–2.PubMedCrossRef
78.
Selekler MH. Büyük oksipital sinir blokaji: Greater occipital nerve blockade: trigeminicervical system and clinical applications in primary headaches. Agri. 2008;20(3):6–13.PubMed
79.
Vanterpool SG, Heidel RE, Rejoub LR. Targeting occipital headache pain: preliminary data supporting an alternative approach to occipital nerve block. Clin J Pain. 2020;36(4):289–95.PubMedCrossRef
80.
81.
Dach F, Éckeli ÁL, Ferreira Kdos S, Speciali JG. Nerve block for the treatment of headaches and cranial neuralgias - a practical approach. Headache. 2015;55(Suppl 1):59–71.PubMedCrossRef
82.
Gul HL, Ozon AO, Karadas O, Koc G, Inan LE. The efficacy of greater occipital nerve blockade in chronic migraine: a placebo-controlled study. Acta Neurol Scand. 2017;136(2):138–44.PubMedCrossRef
83.
Cuadrado ML, Aledo-Serrano Á, Navarro P, López-Ruiz P, Fernández-de-Las-Peñas C, González-Suárez I, et al. Short-term effects of greater occipital nerve blocks in chronic migraine: a double-blind, randomised, placebo-controlled clinical trial. Cephalalgia. 2017;37(9):864–72.PubMedCrossRef
84.
Okmen K, Dagistan Y, Dagistan E, Kaplan N, Cancan E. Efficacy of the greater occipital nerve block in recurrent migraine type headaches. Neurol Neurochir Pol. 2016;50(3):151–4.PubMedCrossRef
85.
Palamar D, Uluduz D, Saip S, Erden G, Unalan H, Akarirmak U. Ultrasound-guided greater occipital nerve block: an efficient technique in chronic refractory migraine without aura? Pain Physician. 2015;18(2):153–62.PubMedCrossRef
86.
Matute E, Bonilla S, Gironés A, Planas A. Bilateral greater occipital nerve block for post-dural puncture headache. Anaesthesia. 2008;63(5):557–8.PubMedCrossRef
87.
Uyar Türkyilmaz E, Camgöz Eryilmaz N, Aydin Güzey N, Moraloğlu Ö. Bilateral greater occipital nerve block for treatment of post-dural puncture headache after caesarean operations. Braz J Anesthesiol. 2016;66(5):445–50.PubMedCrossRef
88.
Niraj G, Kelkar A, Girotra V. Greater occipital nerve block for postdural puncture headache (PDPH): a prospective audit of a modified guideline for the management of PDPH and review of the literature. J Clin Anesth. 2014;26(7):539–44.PubMedCrossRef
89.
Akin Takmaz S, Unal Kantekin C, Kaymak C, Başar H. Treatment of post-dural puncture headache with bilateral greater occipital nerve block. Headache. 2010;50(5):869–72.PubMedCrossRef
90.
Akyol F, Binici O, Kuyrukluyildiz U, Karabakan G. Ultrasound-guided bilateral greater occipital nerve block for the treatment of post-dural puncture headache. Pak J Med Sci. 2015;31(1):111–5.PubMedPubMedCentral
91.
Young WB. Blocking the greater occipital nerve: utility in headache management. Curr Pain Headache Rep. 2010;14(5):404–8.PubMedCrossRef
92.
Dilli E, Halker R, Vargas B, Hentz J, Radam T, Rogers R, et al. Occipital nerve block for the short-term preventive treatment of migraine: a randomized, double-blinded, placebo-controlled study. Cephalalgia. 2015;35(11):959–68.PubMedCrossRef
93.
Nair AS, Rayani BK. Sphenopalatine ganglion block for relieving postdural puncture headache: technique and mechanism of action of block with a narrative review of efficacy. Korean J Pain. 2017;30(2):93–7.PubMedPubMedCentralCrossRef
94.
Kent S, Mehaffey G. Transnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in obstetric patients. Am J Emerg Med. 2015;33(11):1714.e1-2.CrossRef
95.
Alexander CE, Dua A. Sphenopalatine Ganglion Block. 2021 May 4. In: StatPearls [Internet].
96.
Puthenveettil N, Rajan S, Mohan A, Paul J, Kumar L. Sphenopalatine ganglion block for treatment of post-dural puncture headache in obstetric patients: an observational study. Indian J Anaesth. 2018;62(12):972–7.PubMedPubMedCentralCrossRef
97.
Windsor RE, Jahnke S. Sphenopalatine ganglion blockade: a review and proposed modification of the transnasal technique. Pain Physician. 2004;7(2):283–6.PubMedCrossRef
98.
Mojica J, Mo B, Ng A. Sphenopalatine ganglion block in the management of chronic headaches. Curr Pain Headache Rep. 2017;21(6):27.PubMedCrossRef
99.
Cohen S, Levin D, Mellender S, Zhao R, Patel P, Grubb W, et al. Topical sphenopalatine ganglion block compared with epidural blood patch for postdural puncture headache management in postpartum patients: a retrospective review. Reg Anesth Pain Med. 2018;43(8):880–4.PubMed
100.
Cohen S, Trnovski S, Zada Y. A new interest in an old remedy for headache and backache for our obstetric patients: a sphenopalatine ganglion block. Anaesthesia. 2001;56(6):606–7.PubMedCrossRef
101.
Cohen S, Sakr A, Katyal S, Chopra D. Sphenopalatine ganglion block for postdural puncture headache. Anaesthesia. 2009;64(5):574–5.PubMedCrossRef
102.
Kent S, Mehaffey G. Transnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in the ED. Am J Emerg Med. 2015;33(11):1714.e1-2.CrossRef
103.
Ho KWD, Przkora R, Kumar S. Sphenopalatine ganglion: block, radiofrequency ablation and neurostimulation - a systematic review. J Headache Pain. 2017;18(1):118.PubMedPubMedCentralCrossRef
104.
Dietzel J, Witstruck T, Adler S, Usichenko TI. Acupuncture for treatment of therapy-resistant post-dural puncture headache: a retrospective case series. Br J Anaesth. 2013;111(5):847–9.PubMedCrossRef
105.
Kelly RB, Willis J. Acupuncture for pain. Am Fam Physician. 2019;100(2):89–96.PubMed
106.
Sun BX. Treated allergic rhinitis by blocking the sphenopalatine ganglion with triamcinolone acetonide injection through mouth cavity:with a report of 415 cases. J Preclin Med Coll Shandong Uni. 2004.
Metadata
Title
Postdural Puncture Headache—Risks and Current Treatment
Authors
Huili Li
Yun Wang
Adriana D. Oprea
Jinlei Li
Publication date
30-03-2022
Publisher
Springer US
Published in
Current Pain and Headache Reports / Issue 6/2022
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-022-01041-x

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