Bilateral Sphenopalatine Ganglion Block for the Treatment of Post Dural Puncture Headache: A Case Report

Background: Post dural puncture headache (PDPH) is a known and potentially debilitating complication of neuraxial anesthesia that can impede patient recovery. The conventional treatment includes hydration symptomatic like simple analgesics. Those who have unremitting symptoms following conservative measures are offered an epidural blood patch (EBP). However, EBP, invasive procedure, associated with complications in itself. Case: We report 40-year-old man experienced PDPH after spinal anesthesia. His recurred management was instituted. He then trans-nasal sphenopalatine ganglion (SPG) block. had excellent pain relief did not require EBP. Conclusion: SPG blocks be considered early the together general supportive measures. if achieved, should still considered.