11/19/2025
Following an uncomplicated epidural for labor, the mother began experiencing intense, positional headaches - worsening within seconds of standing and easing when lying down.
Conservative measures failed, so an epidural blood patch (EBP) was performed. Within hours, her symptoms dramatically improved, allowing her to care for her newborn comfortably.
Why the EBP works:
- Seals the CSF leak with the patient’s own blood
- Restores CSF pressure with a “tamponade” effect
- Relief is often rapid - within 1–2 hours
- A second patch may be needed if symptoms persist
Recognizing PDPH early can be life-changing postpartum.
Read more about the management of postdural puncture headache in NYSORA's Regional Anesthesia Module on NYSORA360. This module offers residents the most comprehensive and up-to-date curriculum for mastering regional anesthesia by integrating evidence-based knowledge with practical instructions.
https://community.nysora.com/nysora-lms-osm