A Comparative study between distal and proximal ultrasound guided bilateral occipital nerve block for post dural puncture headache

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

PACTR

Registry ID

PACTR201804003292841

Enrollment

Registered

2018-04-04

Start date

2018-04-05

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Nervous System Diseases To compare the pain relieving effect of ultrasound guided bilateral greater occipital nerve block at superior nuchal line versus at C2 level for post dural puncture headache.

Interventions

Group A

Group B

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Patients with knee PDPH. 2. ASA I, II patients. 3. Both sexes included aged 15 to 50 years. 4. NRS more than 4 5. Pain is not relieved by pharmacological treatment.

Exclusion criteria

Exclusion criteria: 1. Patient refusal 2. Anatomical anomalies 3. Previous skull surgery or trauma 4. Other types of headaches. 5. Allergy to amid local anesthetics or corticosteroids 6. Local infection or sepsis. 7. Coagulopathy or anticoagulant therapy 8. Diabetes mellitus. 9. Hypertension

Design outcomes

Primary

Measure	Time frame
The primary outcome in this study is improving in pain of post dural puncture headache (10 minutes, 6 hours, 12 hours, 24 hours, 36 hours and 24 hours), It will be assessed by numerical rating scale (NRS).	—

Secondary

Measure	Time frame
Occurrence of side effects or complications.	—

Countries

Egypt

Contacts

Public Contactsherif arafa

lecturer of anesthesia , icu .aswan university

sherifarafa1020@gmail.com01005714014

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Aug 9, 2026