Recurrence of Post-dural Puncture Headache After a Successful Blood Patch.

The obstetric population is at a higher risk of experiencing post-dural puncture headache (PDPH), which is a frequent complication that can occur following spinal anesthesia or unintended dural puncture during epidural catheter placement. If conservative treatment fails to resolve symptoms, the epidural blood patch (EBP) is the definitive treatment for PDPH. We present the case of a 35-year-old nulliparous woman who developed PDPH and underwent treatment with an EBP. There was immediate resolution of symptoms and she was discharged home. However, three days later, the symptoms recurred, and subdural hygromas were found on a cerebral CT scan. This case report emphasizes the importance of a multidisciplinary approach involving anesthesiology, obstetrics, and neurology in managing PDPH and the associated complications in postpartum patients.