The Korean Journal of Pain

  • 제31권2호
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  • Pages.80-86
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  • 2018
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review

  • Nair, Abhijit S. (Department of Anesthesiology and Pain Management, Basavatarakam Indo-American Cancer Hospital and Research Institute) ;
  • Kodisharapu, Praveen Kumar (Department of Anesthesiology and Pain Management, Basavatarakam Indo-American Cancer Hospital and Research Institute) ;
  • Anne, Poornachand (Department of Anesthesiology and Pain Management, Basavatarakam Indo-American Cancer Hospital and Research Institute) ;
  • Saifuddin, Mohammad Salman (Department of Anesthesiology and Pain Management, Basavatarakam Indo-American Cancer Hospital and Research Institute) ;
  • Asiel, Christopher (Department of Anesthesiology and Pain Management, Basavatarakam Indo-American Cancer Hospital and Research Institute) ;
  • Rayani, Basanth Kumar (Department of Anesthesiology and Pain Management, Basavatarakam Indo-American Cancer Hospital and Research Institute)
  • 투고 : 2017.08.21
  • 심사 : 2017.11.28
  • 발행 : 2018.04.01
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초록

The Epidural blood patch is considered the gold standard for managing postdural puncture headache when supportive measures fail. However, it is a procedure which can lead to another inadvertent dural puncture. Other potential adverse events that could occur during a blood patch are meningitis, neurological deficits, and unconsciousness. The bilateral greater occipital nerve block has been used for treating chronic headaches in patients with PDPH with a single injection. This minimally invasive, simple procedure can be considered for patients early, along with other supportive treatment, and an epidural blood patch can be avoided.

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참고문헌

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