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.
From the Anesthesiology, Intensive Care and Emergency Department, Centro Hospitalar do Porto, Porto, Portugal.
Accepted for publication November 5, 2018.
The authors declare no conflicts of interest.
Address correspondence to Inês F. Furtado, MD, Anesthesiology, Intensive Care and Emergency Department, Centro Hospitalar do Porto, Avenida dos Aliados n° 1025, Sesimbra, Portugal. Address e-mail to firstname.lastname@example.org.