Various complications may develop as a result of epidural anesthesia. Pneumocephalus is a rare complication during epidural catheter insertion. In this case report, 61 years old patient was admitted for hip fracture and planned to have hip replacement surgery. Combined spinoepidural anesthesia was planned during surgery as anesthetic tehchnique. Epidural catheter was inserted for postoperative pain control. Forty-five minutes after the operation, he had a sudden blunt headache, and generalized tonic, clonic status for two minutes. We aimed to present a case of pneumocephalus after combined spinoepidural anesthesia