Accidental Dural Puncture in Obstetrics: A Headache to the Anesthesiologist

Post-dural puncture headache (PDPH) is a known complication of neuraxial techniques. Pregnant women are particularly predisposed to this condition. When it occurs, it can increase hospital costs due to prolonged stays and adversely affect maternal well-being, delivery experience, and newborn care. This case report underscores the importance of considering differential diagnoses for postpartum headache, including complications related to neuraxial procedures such as epidural catheter placement and epidural blood patch (EBP). Although PDPH is a well-recognized complication, special attention is warranted in cases where symptoms persist despite initial treatment, including the need for a second EBP. Moreover, rare but serious complications such as meningitis should always be considered, as they can significantly delay maternal recovery, extend hospitalization, and interfere with both newborn care and the overall postpartum experience.