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Open Access MNK1 web 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 among the complications frequently observed immediately after spinal or epidural anesthesia with dural penetration. For PDPH sufferers who do not respond to conservative health-related treatment, option treatment options which include bilateral occipital nerve block should be regarded as.Within this study the efficacy of bilateral occipital nerve block was retrospectively evaluated in patients with post-dural puncture headache. Solutions: Ultrasound-guided bilateral occipital nerve block was administrated in 21 patients who created PDPH just after spinal anesthesia, but did not respond to conservative healthcare treatment inside 48 hours amongst January 2012 and February 2014. The study was carried out at Erzincan University Faculty of Medicine Gazi Mengucek Education and Analysis Hospital Benefits: Imply Visual Analog Scale (VAS) pain scores at ten minutes and 6, ten, 15 and 24 hours right after the block had been substantially enhanced in comparison with the patients having a pre-block VAS score in between four and six too as patients using a pre-block VAS score amongst 7 and 9 (p0.01). Just after 24 hours of the block applied, VAS discomfort score dropped to 1 for all 12 sufferers who had a pre-block VAS score among 4 and six. Whereas, VAS score decreased to 2 at 24 hours right after the block in only among the list of individuals using a pre-block VAS among 7 and 9. For the individuals with a pre-block VAS score involving 7 and 9, there was no important improvement within the imply VAS score 24 hours just after the block. Conclusions: For individuals with PDPH and also a pre-block VAS score in between 4 and 6 who don’t respond to conservative healthcare remedy, an ultrasound-guided bilateral occipital nerve block might be efficient. Important WORDS: Higher occipital nerve, Post-dural discomfort headache, Ultrasound.doi: http:dx.doi.org10.5-HT6 Receptor Modulator Formulation 12669pjms.311.How to cite this:Akyol F, Binici O, Kuyrukluyildiz U, Karabakan G. Ultrasound-guided bilateral greater occipital nerve block for the remedy of postdural puncture headache. Pak J Med Sci 2015;31(1):111-115. doi: http:dx.doi.org10.12669pjms.311.This is an Open Access write-up distributed below the terms from the Inventive Commons Attribution License (http:creativecommons.orglicensesby3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 1. 2. three. four. 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 Investigation Hospital, Anesthesiology and Reanimation, Erzincan, Turkey. Correspondence: Orhan Binici, M.D. Erzincan University Faculty of Medicine, Gazi Mengucek Education and Study Hospital, Erzin.