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KMID : 0363120180310020080
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Korean Journal of Pain
2018 Volume.31 No. 2 p.80 ~ p.86
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Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review
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Nair Abhijit S.
Kodisharapu Praveen Kumar
Anne Poornachand
Saifuddin Mohammad Salman
Asiel Christopher
Rayani Basanth Kumar
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Abstract
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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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KEYWORD
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Epidural blood patch, Greater occipital nerve, Nerve block, Pain management, Postdural puncture headache, Ultrasound
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Listed journal information
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