Bilateral greater occipital nerve block for treatment of post-dural puncture headache after caesarean operations

摘要: Abstract Background Post-dural puncture headache (PDPH) is an important complication of neuroaxial anesthesia and more frequently noted in pregnant women. The pain described as severe, disturbing its location usually fronto-occipital. conservative treatment PDPH consists bed rest, fluid theraphy, analgesics caffeine. Epidural blood patch gold standard theraphy but it invasive method. greater occipital nerve (GON) formed sensory fibers that originate the C2 C3 segments spinal cord main region. GON blockage has been used for many kinds headache. aim this retrospective study to present results treated with block over 1 year period our institute. Methods 16 patients who had diagnosed have PDPH, performed after caesarean operations were included study. blocks first directly diagnose levobupivacaine dexamethasone. Results mean VAS score was 8.75 (±0.93) before block; 3.87 (±1.78) 10 min 1.18 (±2.04) 2 h 2.13 (±1.64) 24 h block. No adverse effects observed. Conclusions Treatment seems be a minimal invasive, easy effective method especially operations. A may considered application patch.