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Key Clinical Message  The clinical recognition of  CSF  fistula is a clinical challenge. We report the case of a young woman, who presented with a late orthostatic headache 20 months after epidural anesthesia. She developed a lumbar dural fistula of  CSF  confirmed in myelography  CT  scanning and treated successfully with epidural blood patch.

A case of late orthostatic headache secondary to lumbar hidden dural fistula 20 months after epidural anesthesia