ReviewThe Korean journal of pain2018
Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review.
Review in The Korean journal of pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06705244 (Trans-nasal Sphenopalatine Ganglion Block Versus Ultrasound-guided Bilateral Greater and Lesser Occipital Nerve Block for Management of Post-Dural Puncture Headache After Spinal Anesthesia in Patients Undergoing Lower Abdominal Surgeries), which is not on this map. Cited by 12 papers.
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.
Trans-nasal Sphenopalatine Ganglion Block Versus Ultrasound-guided Bilateral Greater and Lesser Occipital Nerve Block for Management of Post-Dural Puncture Headache After Spinal Anesthesia in Patients Undergoing Lower Abdominal Surgeries
Who cites it
12 citing papers in PubMed.
- Pain Trajectories and Factors Associated with Repeated Greater Occipital Nerve Block in Post-Dural Puncture Headache: A Retrospective Observational Cohort Study.Journal of clinical medicine · 2026Article
- An anatomical analysis of the occipital nerve complex: an essential tool for the application of occipital nerve blocks.BMC neurology · 2024Article
- Lumbar Puncture Complications: A Review of Current Literature.Current pain and headache reports · 2024Review
- Occipital nerve block for headaches: a narrative review.Journal of oral & facial pain and headache · 2024Review
- Morphological features of the greater occipital nerve and its possible importance for interventional procedures.Journal of anatomy · 2024Article
- Interventional Pain Procedures: A Narrative Review Focusing on Safety and Complications. Part 1 Injections for Spinal Pain.Journal of pain research · 2023Review
- Correlates of post-dural puncture headache and efficacy of different treatment options: a monocentric retrospective study.British journal of pain · 2022Article
- Transforaminal Epidural Autologous Conditioned Serum Injection in the Treatment of Unilateral Lumbar Radicular Pain: A Randomized, Controlled, Double-Blind Clinical Trial : Role of ACS on Lumbar Radicular Pain.Galen medical journal · 2022Article
- Temperature-Mediated Nerve Blocks in the Treatment of Pain.Current pain and headache reports · 2021Review
- Diffusion tensor imaging of the C1-C3 dorsal root ganglia and greater occipital nerve for cervicogenic headache.The Korean journal of pain · 2020Article
- Comparing the injectate spread and nerve involvement between different injectate volumes for ultrasound-guided greater occipital nerve block at the C2 level: a cadaveric evaluation.Journal of pain research · 2018Article
- Treating postdural puncture headache in COVID-19 positive patient- is bilateral greater occipital nerve block the answer?Saudi journal of anaesthesiaArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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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.