Undiagnosed and Untreated Postdural Puncture Headache Following Myomectomy under Subarachnoid Block: A Case Report

Postdural puncture headache can be a complication of either unintentional or intentional dural puncture. Although the incidence is low, it could arise from subarachnoid block. This case report describes the management of a 6-month history of severe unrelenting, intractable headache with accompanying photophobia following a myomectomy performed under spinal anaesthesia. Twenty millilitres of autologous blood was taken from the patient and aseptically administered into the epidural space. Following this, a transient tonic-clonic seizure with loss of consciousness was observed but was immediately controlled. This case report highlights the possible complications that could follow the administration of an autologous epidural blood patch.