A case of post dural puncture headache following labour epidural analgesia, managed by sphenopalatine ganglion block

Postpartum headache is a common complaint faced by most obstetricians, with over 39% of women having in the first postpartum week. With increasing use labour epidural analgesia, incidence postdural puncture (PDPH) due to inadvertent dural 0.5-1%. Most treatment modalities relieve symptoms PDPH minimizing compensatory cerebral vasodilatation, or sealing site. Treatment options include, conservative, pharmacological, and gold standard, blood patch (EBP). EBP invasive may result rare however, severe complications. Sphenopalatine ganglion block (SPGB) has been proposed as non-invasive intervention for PDPH, which minimal adverse effects, can be performed bedside. Here we are reporting case following analgesia was effectively managed sphenopalatine block.