Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Orthopaedic Surgery
  •  Transplant Surgery
  •  Emergency Surgery
  •  Robotic Surgery
  •  Otolaryngology - Head and Neck Surgery
  •  Bariatric Surgery
  •  Plastic Surgery
  •  Urology

Abstract

Citation: Clin Surg. 2022;7(1):3590.Case Report | Open Access

Topical Transnasal Sphenopalatine Ganglion Block as Management for Postdural Puncture Headache. Where Does It Fit? A Case Report and Literature Review

De Cesaro MP*, Cherubini GRL, Menck JT, da Silva Cunha DR, Negri MG, Koga RB, Scherer EC, Okuma EP, Spagnuolo Moreira FMD, Barreto da Serra e Silva TL and de Oliveira RM

Department of Anesthesiology, Hospital Nossa Senhora das Graças, Brazil

*Correspondance to: De Cesaro MP 

 PDF  Full Text DOI: 10.25107/2474-1647.3590

Abstract

Debilitating and sometimes life-threatening, Postdural Puncture Headache (PDPH) remains simple to recognize but challenging to treat and understand its physiopathology and consequences. With the aim of better understand the potential contribution of topical transnasal Sphenopalatine Ganglion Block (SPGB) in Central Venous Thrombosis (CVT) as a treatment of PDPH, we reviewed the literature and describe a case of CVT after PDPH managed with SPGB. A 68-year-old male patient, American Society of Anesthesiologists physical status 2 underwent an uneventful Transurethral Resection of the Prostate (TURP) under sedation and spinal anesthesia. Neither personal, nor familiar risk factor for thrombosis was referred. On the fourth postoperative day, the patient was treated with SPGB due to PDPH. Following six days, referring diplopia, he was diagnosed with CVT evidenced by Magnetic Resonance Angiography (MRA). After twenty-two days of anticoagulation and complete resolution of his symptoms, the patient continues been monitoring by neurology with no recurrence so far. Compared with Epidural Blood Patch (EBP) for treatment of PDPH, SPGB showed faster headache relief, lesser expensive, safer and better tolerated without associated complications besides a proposed causal relationship between SPGB and CVT. Well conducted trials should be developed in order to stablish where SPGB fits: protector or risk factor, or only the trigger to manifest clinical signs of a thrombus already inside of cerebral veins.

Keywords

Cite the article

De Cesaro MP*, Cherubini GRL, Menck JT, da Silva Cunha DR, Negri MG, Koga RB, et al. Topical Transnasal Sphenopalatine Ganglion Block as Management for Postdural Puncture Headache. Where Does It Fit? A Case Report and Literature Review. Clin Surg. 2022; 7: 3590..

Search Our Journal

Journal Indexed In

Articles in PubMed

Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
Automated Sagittal Craniosynostosis Classification from CT Images Using Transfer Learning
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Use of a Jig to Control Forearm Rotation and Wrist Position for MR and CT Imaging of Patients with Distal Radioulnar Joint and Wrist Dysfunction
 Abstract  PDF  Full Text
Safely Avoiding Axillary Lymphadenectomy after Neoadjuvant Chemotherapy for Patients with Proven Axillary Lymph Node Involvement Early Breast Cancer? The French Multicenter Prospective Ongoing GANEA 3 Study
 Abstract  PDF  Full Text
View More...