Alternative Treatments for Epidural Blood Patch in Postpartum Patients with Postdural Puncture Headache

With the increase of labor neuroaxial anesthesia, the frequency of postdural puncture headache is also increasing, which is the most common complication. Although the epidural blood patch is accepted as the gold standard treatment, there are some situations epidural blood patch can not be applied like patient refusal, treatment fail or contraindications. It is a minimal invasive method, but post-operative complications may be seen in broad spectrum like back pain and permanent neurological sequela. In this article, alternative treatment options for epidural blood patch in postdural puncture headacce are discussed