1.
A A Pract
; 12(11): 401-402, 2019 06 03.
Article
in English
| MEDLINE
| ID: mdl-31162168
ABSTRACT
A 20-year-old man submitted to surgical insertion of a lumboperitoneal drain as a treatment for intracranial hypertension, secondary to venous sinus thrombosis, developed severe headache accompanied by nausea, vomiting, and diplopia 24 hours postoperative. Cerebral spinal fluid low-pressure headache was diagnosed. A transnasal sphenopalatine ganglion block with ropivacaine was performed without complications. Pain relief was immediate, complete, and sustained for about 24 hours; a second block was performed effectively with pain control, and the patient was discharged. Sphenopalatine ganglion block may be a safe and efficient treatment for the cerebral spinal fluid hypotension headache secondary to lumboperitoneal shunt.
Subject(s)
Headache/therapy , Ropivacaine/administration & dosage , Sphenopalatine Ganglion Block/methods , Ventriculoperitoneal Shunt/adverse effects , Headache/etiology , Humans , Intracranial Hypertension/surgery , Male , Treatment Outcome , Young Adult
2.
Anesthesiology
; 131(6): 1362-1365, 2019 12.
Article
in English
| MEDLINE
| ID: mdl-31107275