{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:32:53Z","timestamp":1786649573584,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Post-dural puncture headache (PDPH) is a common complication of epidural anesthesia, especially after accidental dural puncture (ADP), while intracranial subdural hematoma (ISH) is a rare but serious complication. In this report, we describe the case of a 31-year-old pregnant woman who received epidural anesthesia during labor, and accidentally had a dural puncture, resulting in headache and subdural hematoma. A burr hole drainage was performed. The drainage tube was removed 8 days later, and she was discharged after her condition improved. Intracranial hemorrhage after accidental epidural puncture is very rare, and this potentially life-threatening complication needs to be taken seriously.<\/jats:p>","DOI":"10.4103\/sja.sja_247_25","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T07:01:20Z","timestamp":1767337280000},"page":"204-206","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Intracranial subdural hematoma due to accidental dural puncture during labor analgesia in nulliparous women: A case report"],"prefix":"10.4103","volume":"20","author":[{"given":"Lijie","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, First Hospital of Qinhuangdao, Qinhuangdao, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianlei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, First Hospital of Qinhuangdao, Qinhuangdao, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shujuan","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, First Hospital of Qinhuangdao, Qinhuangdao, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuo","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, First Hospital of Qinhuangdao, Qinhuangdao, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"R1-20260421","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1097\/ACO.0000000000001286","article-title":"Etiology, management, and sequela of postdural puncture headache","volume":"36","author":"Taraskiewicz","year":"2023","journal-title":"Curr Opin Anaesthesiol"},{"key":"R2-20260421","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1097\/AAP.0000000000000455","article-title":"Subdural hematoma associated with labor epidural analgesia: A case series","volume":"41","author":"Lim","year":"2016","journal-title":"Reg Anesth Pain Med"},{"key":"R3-20260421","first-page":"e21824","article-title":"Intracranial subdural hematoma versus postdural puncture headache following epidural anesthesia: A case report","volume":"14","author":"Halalmeh","year":"2022","journal-title":"Cureus"},{"key":"R4-20260421","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s00404-006-0146-y","article-title":"The management of accidental dural puncture in pregnant women: What does an obstetrician need to know?","volume":"275","author":"Kuczkowski","year":"2007","journal-title":"Arch Gynecol Obstet"},{"key":"R5-20260421","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1111\/anae.15491","article-title":"Persistent headache and low back pain after accidental dural puncture in the obstetric population: A prospective, observational, multicentre cohort study","volume":"76","author":"Niraj","year":"2021","journal-title":"Anaesthesia"},{"key":"R6-20260421","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.nic.2024.08.015","article-title":"Dural puncture complications","volume":"35","author":"Geisbush","year":"2025","journal-title":"Neuroimaging Clin N Am"},{"key":"R7-20260421","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1097\/AAP.0000000000000357","article-title":"Accidental dural puncture and postdural puncture headache: What are our options?","volume":"41","author":"Van de Velde","year":"2016","journal-title":"Reg Anesth Pain Med"},{"key":"R8-20260421","first-page":"483","article-title":"Does postdural puncture headache left untreated lead to subdural hematoma? 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