Levin Danielle, Cohen Shaul, Mellender Scott, Kiss Geza
From the Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
A A Pract. 2018 Jul 15;11(2):32-34. doi: 10.1213/XAA.0000000000000722.
A 32-year-old woman at 36 weeks gestation with a medical history of corrected Type 1 Arnold Chiari malformation presented with an intractable headache. When methylprednisolone and morphine treatment provided no relief, we performed 2 topical transnasal sphenopalatine ganglion blocks by applying 4% lidocaine drops into each nostril via a cotton-tipped applicator. The patient's symptoms significantly improved, and she was discharged home the same day. She has been without relapse of headaches during the 6 months of follow-up by our pain service.
一名32岁、孕36周的女性，有1型阿诺德-奇阿利畸形矫正病史，出现顽固性头痛。当甲基强的松龙和吗啡治疗无效时，我们通过棉签将4%利多卡因滴剂滴入每个鼻孔，进行了2次经鼻蝶腭神经节局部阻滞。患者症状明显改善，当天出院。在我们疼痛科随访的6个月中，她未再出现头痛复发。
