Nontargeted Serial Epidural Blood Patches for the Treatment of Intracranial Hypotension Headache During Late Pregnancy: A Case Report

( Int J Obstet Anesth . 2024;103996. doi: 10.1016/j.ijoa.2024.103996) Symptoms of intracranial hypotension can be very similar to those of migraines, causing frequent occurrences of missed or delayed diagnoses. Spontaneous intracranial hypotension is rare in general, with an annual rate reported of 5 in 100,000 individuals; in pregnancy, it is even more rare and diagnosis is more difficult because of cooccurrence with common pregnancy headaches and other changes in physiology. Treatment of this condition during pregnancy is, in addition, difficult due to a possible inability to repair a dural leak, and managing symptoms to allow for fetal maturity is critical. This article is a case report of severe orthostatic headaches during late pregnancy, which was managed successfully with a serial non-targeted epidural blood patch (EBP).