ArticlePakistan journal of medical sciences
Ultrasound-guided bilateral greater occipital nerve block for the treatment of post-dural puncture headache.
Article in Pakistan journal of medical sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Efficacy of greater occipital nerve block for pain relief in patients with postdural puncture headache: A meta-analysis.Medicine · 2021Pooled it
- Trans-nasal sphenopalatine ganglion block for post-dural puncture headache management: a meta-analysis of randomized trials.Brazilian journal of anesthesiology (Elsevier)Pooled it
- Peripheral Nerve Blocks for Postdural Puncture Headache: A New Solution for an Old Problem?In vivo (Athens, Greece)Pooled it
- Peripheral nerve blocks for primary and secondary headache disorders: review of current evidence and a practical approach.Journal of oral & facial pain and headache · 2026Review
- Article
- Review
- Postdural Puncture Headache-Risks and Current Treatment.Current pain and headache reports · 2022Review
- First Case of Occipital Neuralgia Treated by Fascial Hydrodissection.The American journal of case reports · 2022Article
- Correlates of post-dural puncture headache and efficacy of different treatment options: a monocentric retrospective study.British journal of pain · 2022Article
- Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review.The Korean journal of pain · 2018Review
- Bilateral greater orbital nerve block: Efficacy in postdural puncture headache.Saudi journal of anaesthesiaArticle
- Ultrasound-guided peripheral nerve interventions for common pain disorders.The Indian journal of radiology & imagingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivePost-dural puncture headache (PDPH) is one of the complications frequently observed after spinal or epidural anesthesia with dural penetration. For PDPH patients who do not respond to conservative medical treatment, alternative treatments such as bilateral occipital nerve block should be considered.In this study the efficacy of bilateral occipital nerve block was retrospectively evaluated in patients with post-dural puncture headache.
methodsUltrasound-guided bilateral occipital nerve block was administrated in 21 patients who developed PDPH after spinal anesthesia, but did not respond to conservative medical treatment within 48 hours between January 2012 and February 2014. The study was conducted at Erzincan University Faculty of Medicine Gazi Mengucek Education and Research Hospital.
resultsMean Visual Analog Scale (VAS) pain scores at 10 minutes and 6, 10, 15 and 24 hours after the block were significantly improved compared to the patients with a pre-block VAS score between 4 and 6 as well as patients with a pre-block VAS score between 7 and 9 (p<0.01). After 24 hours of the block applied, VAS pain score dropped to 1 for all 12 patients who had a pre-block VAS score between 4 and 6. Whereas, VAS score decreased to 2 at 24 hours after the block in only one of the patients with a pre-block VAS between 7 and 9. For the patients with a pre-block VAS score between 7 and 9, there was no significant improvement in the mean VAS score 24 hours after the block.
conclusionsFor patients with PDPH and a pre-block VAS score between 4 and 6 who do not respond to conservative medical treatment, an ultrasound-guided bilateral occipital nerve block may be effective.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.