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Ganglion sphenopalatinum-blokade mod postdural hovedpine

Mads Seit Jespersen1, Pia Therese Jæger2, Karen Lehrmann Ægidius3 & Christian S. Meyhoff1

1) Anæstesiafdelingen, Bispebjerg og Frederiksberg Hospital 2) Anæstesiklinikken, Juliane Marie Centret, Rigshospitalet 3) Neurologisk Afdeling, Bispebjerg og Frederiksberg Hospital


Ugeskr Læger 2019;181:V12180846

Ugeskr Læger 2019;181:V12180846
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Mads Seit Jespersen, Pia Therese Jæger,
Karen Lehrmann Ægidius & Christian S. Meyhoff:

Sphenopalatine ganglion block for treatment of post-dural puncture headache

Ugeskr Læger 2019;181:V12180846

In this review, we discuss transnasal sphenopalatine ganglion (SPG) block: a new, simple and minimally invasive procedure for the treatment of post-dural puncture headache (PDPH) by applying local anaesthesia through the patient’s nose to the nasopharynx. PDPH is a severe and disabling complication sometimes caused by lumbar puncture or unintentional dural puncture. Current treatment includes epidural blood patch, which is an invasive and resource-demanding procedure with the potential of causing severe complications such as infection and paralysis. SPG block seems to be effective and may ease and improve the treatment of PDPH.

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