Background: Postpartum headache after peridural anesthesia is usually attributed to accidental perforation of the dura causing postlumbar puncture headache.
Case: In a patient with persistent headache after peridural anesthesia for labor, a chronic subdural hematoma was diagnosed 5 weeks postpartum.
Conclusion: Caution is warranted in patients with peridural anesthesia for labor who present with unusually persistent headache.