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Open Access Original ArticleUltrasound-guided bilateral greater occipital nerve block for the remedy of post-dural puncture headacheFethi Akyol1, Orhan Binici2, Ufuk Kuyrukluyildiz3, Guldane Karabakan4 ABSTRACT Background and Objective: Post-dural puncture headache (PDPH) is one of the complications regularly observed just after spinal or epidural anesthesia with dural penetration. For PDPH patients who don’t respond to conservative medical remedy, option therapies for instance bilateral occipital nerve block need to be regarded.In this study the efficacy of bilateral occipital nerve block was retrospectively evaluated in individuals with post-dural puncture headache. Methods: Ultrasound-guided bilateral occipital nerve block was administrated in 21 sufferers who developed PDPH immediately after spinal anesthesia, but didn’t respond to conservative health-related therapy within 48 hours amongst January 2012 and AT1 Receptor Antagonist medchemexpress February 2014. The study was conducted at Erzincan University Faculty of Medicine Gazi Mengucek Education and Investigation Hospital Benefits: Imply Visual Analog Scale (VAS) pain scores at ten minutes and six, ten, 15 and 24 hours following the block have been drastically enhanced in comparison to the sufferers with a pre-block VAS score among four and 6 at the same time as individuals having a pre-block VAS score between 7 and 9 (p0.01). Just after 24 hours with the block applied, VAS discomfort score dropped to 1 for all 12 patients who had a pre-block VAS score involving 4 and six. Whereas, VAS score decreased to 2 at 24 hours right after the block in only one of many individuals having a pre-block VAS involving 7 and 9. For the individuals having a pre-block VAS score among 7 and 9, there was no considerable improvement within the mean VAS score 24 hours soon after the block. Conclusions: For sufferers with PDPH along with a pre-block VAS score amongst four and 6 who usually do not respond to conservative medical treatment, an ultrasound-guided bilateral occipital nerve block may be efficient. Essential WORDS: Higher occipital nerve, Post-dural discomfort headache, Ultrasound.doi: http:dx.doi.org10.12669pjms.311.The best way to cite this:Akyol F, Binici O, Kuyrukluyildiz U, Karabakan G. Ultrasound-guided bilateral higher occipital nerve block for the remedy of postdural puncture headache. Pak J Med Sci 2015;31(1):111-115. doi: http:dx.doi.org10.12669pjms.311.This is an Open Access Phospholipase A drug article distributed under the terms of your Creative Commons Attribution License (http:creativecommons.orglicensesby3.0), which permits unrestricted use, distribution, and reproduction in any medium, offered the original perform is correctly cited. 1. two. 3. 4. 1-4: Fethi Akyol, M.D. Orhan Binici, M.D. Ufuk Kuyrukluyildiz, M.D. Guldane Karabakan, M.D. Erzincan University Faculty of Medicine, Gazi Mengucek Education and Investigation Hospital, Anesthesiology and Reanimation, Erzincan, Turkey. Correspondence: Orhan Binici, M.D. Erzincan University Faculty of Medicine, Gazi Mengucek Education and Research Hospital, Erzin.