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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 amongst the complications regularly observed just after spinal or epidural anesthesia with dural penetration. For PDPH patients who don’t respond to conservative health-related remedy, option treatments such as bilateral occipital nerve block must be thought of.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 ROCK1 medchemexpress sufferers who created PDPH following spinal anesthesia, but didn’t respond to conservative healthcare therapy inside 48 hours in between January 2012 and February 2014. The study was conducted at Erzincan University Faculty of Medicine Gazi Mengucek Education and Study Hospital Benefits: Mean Visual Analog Scale (VAS) pain scores at 10 minutes and 6, ten, 15 and 24 hours right after the block have been significantly improved in comparison with the individuals having a pre-block VAS score involving 4 and 6 too as sufferers with a pre-block VAS score among 7 and 9 (p0.01). Following 24 hours of the block applied, VAS discomfort score dropped to 1 for all 12 patients who had a pre-block VAS score involving four and 6. Whereas, VAS score decreased to two at 24 hours following the block in only among the sufferers with a pre-block VAS among 7 and 9. For the individuals using a pre-block VAS score amongst 7 and 9, there was no significant improvement within the mean VAS score 24 hours just after the block. Conclusions: For sufferers with PDPH and a pre-block VAS score in between four and 6 who usually do not respond to conservative medical therapy, an ultrasound-guided bilateral occipital nerve block could be helpful. Essential WORDS: Higher occipital nerve, Post-dural discomfort headache, Ultrasound.doi: http:dx.doi.org10.12669pjms.311.How to cite this:Akyol F, Binici O, Kuyrukluyildiz U, Karabakan G. Ultrasound-guided bilateral greater occipital nerve block for the treatment of postdural puncture headache. Pak J Med Sci 2015;31(1):111-115. doi: http:dx.doi.org10.12669pjms.311.This can be an Open Access short article distributed beneath the terms with the Topo II Purity & Documentation Inventive Commons Attribution License (http:creativecommons.orglicensesby3.0), which permits unrestricted use, distribution, and reproduction in any medium, supplied the original function is appropriately cited. 1. 2. 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 Analysis Hospital, Anesthesiology and Reanimation, Erzincan, Turkey. Correspondence: Orhan Binici, M.D. Erzincan University Faculty of Medicine, Gazi Mengucek Education and Investigation Hospital, Erzin.