{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T17:47:27Z","timestamp":1767030447145,"version":"3.48.0"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":99,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    Headache in pregnancy remains a diagnostic challenge. Neuraxial intervention in the antenatal period can lead to complications, such as postdural puncture headache and subdural haematoma, and may have a significant impact on maternal well\u2010being, labour and birth. Here, we describe a case of headache secondary to intracranial hypotension with onset at 32\u2009weeks of gestation in a 40\u2010year\u2010old woman, 12\u2009weeks following spinal anaesthesia for cervical cerclage. It presented novel problems to consider for the performance of lumbar epidural blood patch and the subsequent neuraxial anaesthesia for the birth. A lumbar epidural blood patch was performed at 38\n                    <jats:sup>+1<\/jats:sup>\n                    weeks of gestation with full resolution of symptoms, and spinal anaesthesia was subsequently provided the following day for a caesarean birth with good efficacy and no adverse effects. We demonstrated that the low cerebrospinal fluid pressure headache can be effectively and safely managed with a lumbar epidural blood patch, and spinal anaesthesia for caesarean birth may be successfully performed within 24\u2009h of the lumbar epidural blood patch.\n                  <\/jats:p>","DOI":"10.1002\/anr3.70034","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T20:26:44Z","timestamp":1759955204000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful spinal anaesthesia for caesarean birth after epidural blood patch for intracranial hypotension headache"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0325-2110","authenticated-orcid":false,"given":"R.","family":"Grimes","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Peri\u2010operative Medicine Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Nelson\u2010Piercy","sequence":"additional","affiliation":[{"name":"Department of Obstetric Medicine Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Peri\u2010operative Medicine Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjae.2021.12.004"},{"key":"e_1_2_5_3_1","unstructured":"International Headache Society.7.2 Headache attributed to low cerebrospinal fluid (CSF) pressure \u2010 ICHD\u20103. International Classification of Headache Disorders 3rd Edition. 2021.https:\/\/ichd\u20103.org\/7\u2010headache\u2010attributed\u2010to\u2010non\u2010vascular\u2010intracranial\u2010disorder\/7\u20102\u2010headache\u2010attributed\u2010to\u2010low\u2010cerebrospinal\u2010fluid\u2010pressure\/(accessed 20\/07\/2025)."},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2023-104817"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2019.2995"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2021.103241"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002986"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2021.103242"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004336"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2018.12.005"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12168"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1213\/XAA.0000000000000179"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.70034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T17:42:28Z","timestamp":1767030148000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.70034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/anr3.70034"],"URL":"https:\/\/doi.org\/10.1002\/anr3.70034","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"type":"print","value":"2637-3726"},{"type":"electronic","value":"2637-3726"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-09-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70034"}}