Case Presentation A 25-year-old woman of African ethnicity, gravida 2 para 0, with no significant past medical or obstetric history, began routine antenatal care at 15 weeks of gestation. Her pregnancy progressed uneventfully, with normal laboratory results and appropriate supplementation, including folic acid and iron.

Delivery Details At 40+1 weeks, patient underwent elective cesarean section for fetopelvic disproportion under spinal anesthesia without complications Delivered a male infant weighing 2635 g with Apgar scores of 8, 9, and 10 Immediate postoperative and early postpartum period were uneventful; discharged on postpartum day three Presenting Complaint On postpartum day four, presented with severe headache and neck pain that worsened significantly, accompanied by marked weakness Initial Assessment Post-dural puncture headache (PDPH) was initially suspected due to prior spinal…