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Publication Name World Journal of Clinical Cases
Manuscript ID 114521
Country India
Category Anesthesiology
Manuscript Type Systematic Reviews
Article Title Sphenopalatine ganglion block for postdural puncture headache: A review of current evidence
Manuscript Source Invited Manuscript
All Author List Pratap Rudra Mahanty, Biswajit Sen, Rishi Anand, Deb Sanjay Nag, Nirakar Pahadi, Dona Lodh and Tinali Upadhyaya
Funding Agency and Grant Number
Corresponding Author Deb Sanjay Nag, Consultant, Department of Anaesthesiology, Tata Main Hospital, C Road West, Northern Town, Bistupur, Jamshedpur 831001, Jharkhand, India. ds.nag@tatasteel.com
Key Words Sphenopalatine ganglion block; Post-dural puncture headache; Postdural puncture headache; Epidural blood patch; Neuraxial procedures; Nerve block
Core Tip Postdural puncture headache (PDPH) is a debilitating complication of spinal anesthesia. Although the epidural blood patch remains the established gold standard invasive treatment, the sphenopalatine ganglion block has emerged as a promising minimally invasive alternative. Sphenopalatine ganglion block operates by interrupting the parasympathetic pathways responsible for cerebral vasodilation, which underlies PDPH. It provides rapid pain relief in majority of cases, with minimal side effects. Its ease of application and high success rate make it an excellent alternative,allowing patients to avoid or delay more invasive procedures such as epidural blood patch, particularly in cases of mild to moderate PDPH.
Citation Mahanty PR, Sen B, Anand R, Nag DS, Pahadi N, Lodh D, Upadhyaya T. Sphenopalatine ganglion block for postdural puncture headache: A review of current evidence. World J Clin Cases 2026; In press
Received
2025-09-22 02:00
Peer-Review Started
2025-09-22 02:00
First Decision by Editorial Office Director
2025-10-17 07:28
Return for Revision
2025-10-17 07:28
Revised
2025-10-27 08:26
Publication Fee Transferred
Second Decision by Editor
2026-01-09 02:39
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-09 06:34
Articles in Press
2026-01-09 06:34
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2307-8960 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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