PMID- 34471063
OWN - NLM
STAT- MEDLINE
DCOM- 20220107
LR  - 20220107
IS  - 1347-3409 (Electronic)
IS  - 1345-4676 (Linking)
VI  - 88
IP  - 4
DP  - 2021
TI  - Transnasal Sphenopalatine Ganglion Block for Management of Postdural Puncture 
      Headache in Non-Obstetric Patients.
PG  - 291-295
LID - 10.1272/jnms.JNMS.2021_88-406 [doi]
AB  - BACKGROUND: This study investigated the efficacy and safety of transnasal 
      sphenopalatine ganglion block (SPGB) for treatment of postural puncture headache 
      (PDPH) in non-obstetric patients. METHODS: This retrospective study was conducted 
      at the Ankara Research and Educational Hospital, in Turkey, and included 26 
      non-obstetric patients (age, >/=18 years) who were diagnosed with PDPH and 
      unresponsive to conservative therapy or unable to continue it because of side 
      effects. Transnasal SPGB was performed in each nostril. Pain severity was 
      assessed with the Visual Analogue Scale (VAS) at 15 min, 30 min, 24 h, and 48 h 
      after the procedure, while patients were seated. The patients were monitored for 
      48 h for adverse effects (AEs). Patient treatment satisfaction was assessed at 48 
      h after the procedure by using the Patient Global Impression of Change (PGIC) 
      scale. RESULTS: Headache at 15 min post-procedure was relieved rapidly. At 24 h 
      post-procedure, nearly half of patients (42.3%) had no pain, and all patients 
      (100%) had a VAS score of <3. Nasal discomfort, throat numbness, and nausea were 
      AEs reported after SPGB; however, these AEs were completely relieved at 24 h 
      after the procedure. According to the PGIC scale scores at 48 h post-procedure, 
      73.1% of patients evaluated themselves as "much improved" and 26.9% evaluated 
      themselves as "very much improved". CONCLUSION: When PDPH does not respond to 
      conservative treatment, it may be treated effectively with transnasal SPGB, which 
      is a noninvasive, safe, well-tolerated, and straightforward method with a low 
      complication rate.
FAU - Takmaz, Suna Akin
AU  - Takmaz SA
AD  - Department of Algology, Ankara Research and Educational Hospital.
FAU - Karaoglan, Mustafa
AU  - Karaoglan M
AD  - Department of Algology, Ankara Research and Educational Hospital.
FAU - Baltaci, Bulent
AU  - Baltaci B
AD  - Department of Anesthesiology and Reanimation, Ankara Research and Educational 
      Hospital.
FAU - Bektas, Meltem
AU  - Bektas M
AD  - Department of Anesthesiology and Reanimation, Ankara Research and Educational 
      Hospital.
FAU - Basar, Hulya
AU  - Basar H
AD  - Department of Anesthesiology and Reanimation, Ankara Research and Educational 
      Hospital.
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - J Nippon Med Sch
JT  - Journal of Nippon Medical School = Nippon Ika Daigaku zasshi
JID - 100935589
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Blood Patch, Epidural
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain
MH  - Patient Satisfaction
MH  - Post-Dural Puncture Headache/etiology/*therapy
MH  - Punctures
MH  - Retrospective Studies
MH  - Sphenopalatine Ganglion Block/adverse effects/*methods
MH  - Spinal Puncture
OTO - NOTNLM
OT  - epidural blood patch
OT  - postdural puncture headache
OT  - sphenopalatine ganglion block
EDAT- 2021/09/03 06:00
MHDA- 2022/01/08 06:00
CRDT- 2021/09/02 06:03
PHST- 2021/09/02 06:03 [entrez]
PHST- 2021/09/03 06:00 [pubmed]
PHST- 2022/01/08 06:00 [medline]
AID - 10.1272/jnms.JNMS.2021_88-406 [doi]
PST - ppublish
SO  - J Nippon Med Sch. 2021;88(4):291-295. doi: 10.1272/jnms.JNMS.2021_88-406.