• Ming Yan, Qiao Wang, Yufeng Zhang, Yue Sun, and Jian Sun.
• Department of Anesthesiology, The Huai'an Maternity and Child Clinical College of Xuzhou Medical University (Huai' an maternal and child health care center), Huaian, China.
• Medicine (Baltimore). 2023 Jun 16; 102 (24): e34078e34078.

IntroductionPost-dural puncture headache (PDPH) is the most common complication of intraspinal nerve block in gravida. PDPH may be accompanied by neck stiffness, tinnitus, hearing loss, photophobia or nausea.Patient ConcernsA 33-year-old woman whose dura was accidentally punctured during labor analgesia complained of severe headache, dizziness, and nasal congestion; these symptoms aggravated when she looked up, and her sense of smell was normal 8 hours after catheter removal.DiagnosesBased on the patient's complaints and clinical appearance, diagnosis of PDPH was considered.InterventionsNasal congestion disappeared with headache and dizziness after epidural injections of saline. The puerpera received saline injections 4 times; after treatment, she was discharged from the hospital when the symptoms did not limit her daily movement.OutcomesThe symptoms disappeared completely on the seventh day of telephone follow-up visit. The mechanism of her nasal obstruction is not very clear.ConclusionWe believe it is caused by the pulling of the intracranial nerve as the brain tissue sinks and shifts due to the decrease in intracranial pressure.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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