Postpartum headache in parturients receiving labor epidural analgesia occurs not infrequently. Much less often, spontaneous CSF leaks can cause intracranial hypotension and orthostatic headache. Although neuroimaging can aid differential diagnosis, conservative treatment and epidural blood patch make sense for temporally-related symptoms. We report a case of recurrence of orthostatic headache one month following successful treatment of post-dural puncture headache with epidural blood patch.