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( Abhijit S. Nair ),( Praveen Kumar Kodisharapu ),( Poornachand Anne ),( Mohammad Salman Saifuddin ),( Christopher Asiel ),( Basanth Kumar Rayani ) 대한통증학회 2018 The Korean Journal of Pain Vol.31 No.2
The Epidural blood patch is considered the gold standard for managing postdural puncture headache when supportive measures fail. However, it is a procedure which can lead to another inadvertent dural puncture. Other potential adverse events that could occur during a blood patch are meningitis, neurological deficits, and unconsciousness. The bilateral greater occipital nerve block has been used for treating chronic headaches in patients with PDPH with a single injection. This minimally invasive, simple procedure can be considered for patients early, along with other supportive treatment, and an epidural blood patch can be avoided. (Korean J Pain 2018; 31: 80-6)