{
  "abstract": "Background and Aims We present a report of a previously healthy 13-year-old girl with a recent lumbar puncture history, that develops an incapacitating orthostatic headache 1 week after the procedure. Post-dural puncture headache (PDPH) is a common complication associated with neuraxial approaches in a variety of medical settings. The autologous epidural blood patch remains the gold standard treatment, after a conservative therapy has failed. However, such a procedure is neither innocuous nor painless, and may be difficult to perform in the pediatric field. Sphenopalatine ganglion block (SpGB), on the other hand, is a minimally invasive approach, easy to perform, lacking in relevant adverse events, depicted by practitioners as effective in terminating PDPH.Methods While in observation in a pediatric unit at our hospital for incapacitating orthostatic headache refractory to conservative treatment, the Anesthesiology staff was asked to evaluate and if suited, collaborate in the treatment of the patient. Even though medical history and clinical presentation lacked features of a PDPH, the performance of SpGB with Ropivacaine 1% was suggested and accepted. After the procedure the child was held in pediatric ward for 24 h.Results Given the completeresolution of symptoms, the patient was discharged and reevaluated later with complete remission.Conclusions Giving the uncertain diagnosis of PDPH this case highlights the applicability of SpGB in pediatric patients and possible clinical efficacy in other clinical settings of headache.",
  "authors": [
    {
      "affiliations": [
        "Anesthesiology Department, Unidade Local de Saúde Gaia-Espinho, Porto, Portugal"
      ],
      "name": "Rui Eduardo Correia Barreto"
    },
    {
      "affiliations": [
        "Anesthesiology Department, ULS São José, Lisboa, Portugal"
      ],
      "name": "Francisco Vaz Pereira"
    },
    {
      "affiliations": [
        "Anesthesiology Department, Unidade Local de Saúde Gaia-Espinho, Porto, Portugal"
      ],
      "name": "Sharon Jennifer Santos Faria"
    },
    {
      "affiliations": [
        "Anesthesiology Department, Unidade Local de Saúde Gaia-Espinho, Porto, Portugal"
      ],
      "name": "Márcia Ribeiro Valentão Pitrez Santos"
    },
    {
      "affiliations": [
        "Anesthesiology Department, Unidade Local de Saúde Gaia-Espinho, Porto, Portugal"
      ],
      "name": "Catarina Torres Monteiro"
    }
  ],
  "title": "P111 Sphenopalatine ganglion block application in unclear pediatric headache",
  "uid": "99f8daf7-682d-5b31-8619-3176efbc9635"
}