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Sphenopalatine ganglion block for relieving postdural puncture headache: technique and mechanism of action of block with a narrative review of efficacy

  • Nair, Abhijit S. (Department of Anaesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research Centre) ;
  • Rayani, Basanth Kumar (Department of Anaesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research Centre)
  • 투고 : 2016.12.07
  • 심사 : 2017.02.13
  • 발행 : 2017.04.01

초록

The sphenopalatine ganglion (SPG) is a parasympathetic ganglion, located in the pterygopalatine fossa. The SPG block has been used for a long time for treating headaches of varying etiologies. For anesthesiologists, treating postdural puncture headaches (PDPH) has always been challenging. The epidural block patch (EBP) was the only option until researchers explored the role of the SPG block as a relatively simple and effective way to treat PDPH. Also, since the existing evidence proving the efficacy of the SPG block in PDPH is scarce, the block cannot be offered to all patients. EBP can be still considered if an SPG block is not able to alleviate pain due to PDPH.

키워드

참고문헌

  1. Bano F, Haider S, Aftab S, Sultan ST. Comparison of 25-gauge, Quincke and Whitacre needles for postdural puncture headache in obstetric patients. J Coll Physicians Surg Pak 2004; 14: 647-50.
  2. Boonmak P, Boonmak S. Epidural blood patching for preventing and treating post-dural puncture headache. Cochrane Database Syst Rev 2010: CD001791.
  3. Ylonen P, Kokki H. Epidural blood patch for management of postdural puncture headache in adolescents. Acta Anaesthesiol Scand 2002; 46: 794-8. https://doi.org/10.1034/j.1399-6576.2002.460707.x
  4. Desai MJ, Dave AP, Martin MB. Delayed radicular pain following two large volume epidural blood patches for post-lumbar puncture headache: a case report. Pain Physician 2010; 13: 257-62.
  5. Khonsary SA, Ma Q, Villablanca P, Emerson J, Malkasian D. Clinical functional anatomy of the pterygopalatine ganglion, cephalgia and related dysautonomias: a review. Surg Neurol Int 2013; 4: S422-8. https://doi.org/10.4103/2152-7806.121628
  6. Rusu MC, Pop F. The anatomy of the sympathetic pathway through the pterygopalatine fossa in humans. Ann Anat 2010; 192: 17-22. https://doi.org/10.1016/j.aanat.2009.10.003
  7. Oluigbo CO, Makonnen G, Narouze S, Rezai AR. Sphenopalatine ganglion interventions: technical aspects and application. Prog Neurol Surg 2011; 24: 171-9.
  8. Candido KD, Massey ST, Sauer R, Darabad RR, Knezevic NN. A novel revision to the classical transnasal topical sphenopalatine ganglion block for the treatment of headache and facial pain. Pain Physician 2013; 16: E769-78.
  9. Mokri B. The Monro-Kellie hypothesis: applications in CSF volume depletion. Neurology 2001; 56: 1746-8. https://doi.org/10.1212/WNL.56.12.1746
  10. Piagkou M, Demesticha T, Troupis T, Vlasis K, Skandalakis P, Makri A, et al. The pterygopalatine ganglion and its role in various pain syndromes: from anatomy to clinical practice. Pain Pract 2012; 12: 399-412. https://doi.org/10.1111/j.1533-2500.2011.00507.x
  11. Schaffer JT, Hunter BR, Ball KM, Weaver CS. Noninvasive sphenopalatine ganglion block for acute headache in the emergency department: a randomized placebo-controlled trial. Ann Emerg Med 2015; 65: 503-10. https://doi.org/10.1016/j.annemergmed.2014.12.012
  12. Cohen S, Trnovski S, Zada Y. A new interest in an old remedy for headache and backache for our obstetric patients: a sphenopalatine ganglion block. Anaesthesia 2001; 56: 606-7.
  13. Cohen S, Sakr A, Katyal S, Chopra D. Sphenopalatine ganglion block for postdural puncture headache. Anaesthesia 2009; 64: 574-5.
  14. Patel P, Zhao R, Cohen S, Mellender S, Shah S, Grubb W. Sphenopalatine ganglion block (SPGB) versus epidural blood patch (EBP) for accidental postdural puncture headache (PDPH) in obstetric patients: a retrospective observation. Poster presentation at: 32nd Annual Meeting of the American Academy of Pain Medicine; 2016 Feb 18-21; Palm Springs (CA). Poster #145.
  15. Kent S, Mehaffey G. Transnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in the ED. Am J Emerg Med 2015; 33: 1714.e1-2. https://doi.org/10.1016/j.ajem.2015.03.024
  16. Kent S, Mehaffey G. Transnasal sphenopalatine ganglion block for the treatment of postdural puncture headache in obstetric patients. J Clin Anesth 2016; 34: 194-6. https://doi.org/10.1016/j.jclinane.2016.04.009

피인용 문헌

  1. Novel Interventional Nonopioid Therapies in Headache Management vol.22, pp.4, 2018, https://doi.org/10.1007/s11916-018-0681-9
  2. Clinical Anatomy of Blockade of the Pterygopalatine Ganglion: Literature Review and Pictorial Tour Using Cadaveric Images pp.1881-2090, 2018, https://doi.org/10.2739/kurumemedj.MS651001
  3. Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review vol.31, pp.2, 2018, https://doi.org/10.3344/kjp.2018.31.2.80
  4. Bilateral transnasal sphenopalatine block for treating postdural puncture headache vol.71, pp.1, 2018, https://doi.org/10.4097/kjae.2018.71.1.73
  5. Sphenopalatine ganglion block for treatment of post-dural puncture headache in obstetric patients: An observational study vol.62, pp.12, 2017, https://doi.org/10.4103/ija.ija_443_18
  6. Intranasal lignocaine spray for sphenopalatine ganglion block for postdural puncture headache vol.12, pp.2, 2018, https://doi.org/10.4103/sja.sja_680_17
  7. Sphenopalatine ganglion block followed by an epidural blood patch for postdural puncture headache management in postpartum patients: is it a confounder? vol.44, pp.5, 2017, https://doi.org/10.1136/rapm-2018-100046
  8. Topical Sphenopalatine Ganglion Block Compared With Epidural Blood Patch for Postdural Puncture Headache Management in Postpartum Patients: A Retrospective Review vol.39, pp.3, 2017, https://doi.org/10.1097/01.aoa.0000575176.90917.2c
  9. Sphenopalatine ganglion block: Intranasal transmucosal approach for anterior scalp blockade - A prospective randomized comparative study vol.36, pp.2, 2017, https://doi.org/10.4103/joacp.joacp_249_18
  10. Treating postdural puncture headache in COVID-19 positive patient- is bilateral greater occipital nerve block the answer? vol.14, pp.4, 2020, https://doi.org/10.4103/sja.sja_383_20
  11. A Comparative Study of Sphenopalatine Ganglion Block versus Conservative Management for the Treatment of Post-dural Puncture Headache vol.7, pp.13, 2020, https://doi.org/10.18410/jebmh/2020/143
  12. Postdural puncture headache in the obstetric population: a new approach? vol.45, pp.5, 2020, https://doi.org/10.1136/rapm-2019-101053
  13. Management of Cervical Post-Dural Puncture Headache vol.21, pp.12, 2020, https://doi.org/10.1093/pm/pnaa298
  14. Transnasal Sphenopalatine Ganglion Block for Management of Postdural Puncture Headache in Non-Obstetric Patients vol.88, pp.4, 2021, https://doi.org/10.1272/jnms.jnms.2021_88-406
  15. A simple modification of sphenopalatine ganglion block for treatment of postdural puncture headache: A case series vol.15, pp.1, 2017, https://doi.org/10.4103/aer.aer_67_21
  16. Transnasal sphenopalatine ganglion block for post‐dural puncture headache and associated tinnitus vol.9, pp.1, 2017, https://doi.org/10.1002/anr3.12101
  17. New approaches and therapeutic options for post-dural puncture headache treatment vol.49, pp.3, 2021, https://doi.org/10.5554/22562087.e951
  18. Extra-axial haemorrhage in a patient with Alport syndrome after epidural anaesthesia vol.14, pp.6, 2017, https://doi.org/10.1136/bcr-2021-242160
  19. Postdural Puncture Headache Related to Procedure: Incidence and Risk Factors After Neuraxial Anesthesia and Spinal Procedures vol.22, pp.6, 2017, https://doi.org/10.1093/pm/pnaa437