Greater Occipital Nerve Block at Two Levels Spares the Need for an Epidural Blood Patch for Managing Postdural Puncture Headache: A Randomized Comparative Trial

Bilevel GONB provided was superior to single level blocks and intramuscular injection with no 24 hour postprocedure failure, a low recurrence rate, and totally negated the need for an epidural blood patch; it also significantly improved patients' quality of life. Bilevel GONB is an efficient first-line therapy for recurrent PDPH.

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Publication Details

Journal
Pain Physician
Published
2025-03-26
DOI
https://doi.org/10.36076/ppj.2025.28.e137
Primary Topic
Anesthesia and Pain Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Greater Occipital Nerve Block at Two Levels Spares the Need for an Epidural Blood Patch for Managing Postdural Puncture Headache: A Randomized Comparative Trial

Ahmad Elsaid, Yehya Shahin Dabour, Enas Wageh Mahdy, Samar A Salman
Pain Physician
Anesthesia and Pain Management
article

Greater Occipital Nerve Block at Two Levels Spares the Need for an Epidural Blood Patch for Managing Postdural Puncture Headache: A Randomized Comparative Trial

Ahmad Elsaid, Yehya Shahin Dabour, Enas Wageh Mahdy, Samar A Salman
article en

Abstract

Bilevel GONB provided was superior to single level blocks and intramuscular injection with no 24 hour postprocedure failure, a low recurrence rate, and totally negated the need for an epidural blood patch; it also significantly improved patients' quality of life. Bilevel GONB is an efficient first-line therapy for recurrent PDPH.

Pain PhysicianVol. 28(2)
Cairo University (EG), Benha University (EG)
Openalex Percentile: Top 89%
Anesthesia and Pain Management
DOIOpen Access PDFOpenAlex
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