PURPOSE Sphenopalatine ganglion block is widely accepted in chronic pain; however it has been underestimated in post dural puncture headache treatment. The ganglion block does not restore normal cerebrospinal fluid dynamics but effectively reduces symptoms associated with resultant hypotension. When correctly applied it may avoid performance of epidural blood patch. The transnasal approach is a...

cutaneous sphincterotomy is the treatment of choice for patients with chronic anal fissure. Both procedures are easily and safely performed in the outpatient department under local anaesthesia, thereby avoiding the costs and disruption of admission to hospital. SHORT REPORTS Current practice of diagnostic lumbar puncture About 30%1 of patients have a headache after lumbar puncture,' and many st...

The aim of our study was to determine if using the Epidrum to site epidurals improves success and reduces morbidity. Three hundred parturients requesting epidural analgesia for labour were enrolled. 150 subjects had their epidural sited using Epidrum and 150 using standard technique. We recorded subject demographics, operator experience, number of attempts, Accidental Dural Puncture rate, rate ...

OBJECTIVE To investigate the effect of dexamethasone in reducing the incidence of headache. METHODS This randomized controlled trial was carried out in 160 cesarean patients with physical conditions-1 and emergency-1 at 22-Bahman Hospital, Iran between March 2010 and March 2011. Patients were randomly divided into sample and control groups. The women were studied for incidence of headache in ...

Post lumber puncture headache (PLPH) has been a problem for patients, following dural puncture. Headache after lumbar puncture is a common occurrence (32%) and carries a considerable morbidity, with symptoms lasting for several days, at times severe enough to immobilize the patient. If untreated, it can result in serious complications such as subdural haematoma and seizures, which could be fata...