Shahid Shafi Khawaja, Muhammad Yasir Rafiq, Huma Rafi, Shahzad Ali, Abu Sufyan.
Transnasal sphenopalatine ganglion block, an innovative modality for treatment of post dural punctural headache.
Pak Armed Forces Med J Dec ;69(2):403-07.

Objective: To evaluate the efficacy of a new& novel technique Sphenopalatine Ganglion Block (SPG) for the treatment of post duralpunctural headache (PDPH) at Combined Military Hospital, Skardu. Study Design: Case series. Place and Duration of Study: The study was conducted at department of Anesthesiology, pain and intensive care, Combined Military Hospital, Skardu, from Mar to Oct 2017. Material and Methods: Total of 53 patients of PDPH fulfilling inclusion criteria were offered SPG block and their response was quantified on visual analogue scale (VAS) from 0-10. Results: Out of total n=53 all the patients were females, the age of the patients were between 18-37 years, with themean of 27.08 and +- SD of 5.188), VAS score before undergoing SPG block was between 8 and 10 with the mean of 9.377 +- SD 0.664. For the patients after undergoing SPG block significant decrease on mean i.e. 1.175 with SD 0.657 was noted with p-value<0.001 which was considered significant. Conclusion: SPG block was found more innovative modality for treating post duralpunctural headache.

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