Detecting the efficacy and safety of trans-nasal sphenopalatine ganglion block using either lidocaine 2% or bupivacaine 0.5 % as a treatment line for post-dural puncture headache

Inclusion Criteria:

• The ASA physical condition І-П
• the patient underwent CS under spinal anesthesia
• The headache developed within 5 days after the dural puncture
• There is no different explanation for the headache

Exclusion Criteria:

• coagulopathy
• history of nasal bleeding
• nasal polyp
• septal deviation
• local anesthetics reaction

20 - 45 years old female with PDPH after cesarean section using spinal anesthesia