Post-Dural Puncture Headaches Treated by Bilateral Greater Occipital Nerve Block with a Ropivacaine-Onabotulinum Toxin Mixture
The greater occipital nerve block (GONB) and Onabotulinum toxin A have been proposed for the treatment of different headache types. However, the combination of these two techniques in post-dural puncture headache (PDPH) management has not been previously described. We report, for the first time, the...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Association for the Study of Pain, Korean Pain Intervention Society
2025-06-01
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| Series: | International Journal of Pain |
| Subjects: | |
| Online Access: | http://painresearch.or.kr/journal/view.html?doi=10.56718/ijp.25-005 |
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| Summary: | The greater occipital nerve block (GONB) and Onabotulinum toxin A have been proposed for the treatment of different headache types. However, the combination of these two techniques in post-dural puncture headache (PDPH) management has not been previously described. We report, for the first time, the case of a 32-year-old woman treated successfully for PDPH using bilateral GONB with a ropivacaine-Onabotulinum toxin A mixture. Adding Onabotulinum toxin A to ropivacaine significantly extended the duration of analgesia compared to ropivacaine alone (2.5 months vs. 3 days). |
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| ISSN: | 2233-4793 |