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This inadvertent puncture might be accidental in the form of advancing the needle too far when performing an epidural, or it may be the result of a multiple attempt spinal injection where the patient moves suddenly or the patient has an elevated body mass index making it challenging for the anesthesia provider(s). CSF leakage and compensatory intracranial vasodilation cause severe headaches that affect daily living and can inhibit maternal-infant bonding periods for postpartum patients who received neuraxial anesthesia. The epidural blood patch (EBP) is the gold-standard treatment. However, it is invasive, requires sterile technique and dual-provider assistance, and it may fail. The sphenopalatine ganglion block (SPGB) has emerged as a minimally invasive alternative that interrupts parasympathetic-mediated vasodilation through local anesthetic blockade of the sphenopalatine ganglion. It can be performed intranasally or with ultrasound-guided regional anesthesia."},{"label":"Format","value":["Document (PDF)"]},{"label":"Identifier","value":"Submission ID: 22226111"},{"label":"Language","value":["English"]},{"label":"Publisher","value":"Texas Wesleyan University"},{"label":"Rights","value":["Open Access"]},{"label":"Subject","value":["Post-Dural Puncture Headaches (PDPH)","Post-Dural Puncture Headaches (PDPH)--Treatments","Epidural Blood Patch (EBP)","Monro-Kellie Doctrine","Sphenopalatine Ganglion"]},{"label":"Type","value":["Text"]},{"label":"Repository","value":["Academic Archive"]},{"label":"Date Added","value":"11.21.2025"},{"label":"Metadata Creator","value":"MVM"},{"label":"Creator Status","value":"Student"},{"label":"School Affiliation","value":["School of Health Professions"]},{"label":"Department Affiliation","value":["Doctor of Nurse Anesthesia Practice"]},{"label":"Faculty Sponsor","value":"Bailey Freeman"}],"description":"Patch vs. Palatine: Minimally 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