Temporary homonymous hemianopsia after epidural blood patch.
10.5468/OGS.2013.56.2.130
- Author:
Hyeonkyeong YEON
1
;
Young Ok SHIN
;
Oh Young LEE
;
Eunjeong KWON
;
Eun Hwan JEONG
Author Information
1. Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea. jeongmed@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Epidural blood patch;
Homonymous hemianopsia;
Pneumocephalus;
Post-dural puncture headache
- MeSH:
Anesthesia, Spinal;
Anti-Bacterial Agents;
Blood Patch, Epidural;
Cesarean Section;
Emergencies;
Female;
Hemianopsia;
Humans;
Magnetic Resonance Imaging;
Oxygen;
Pneumocephalus;
Post-Dural Puncture Headache;
Pregnancy
- From:Obstetrics & Gynecology Science
2013;56(2):130-133
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe a case in which homonymous hemianopsia developed abruptly following an epidural blood patch procedure. The procedure was performed in a patient complaining of post-dural puncture headache after an emergency Cesarean section under spinal anesthesia. Computed tomography and magnetic resonance imaging demonstrated that air bubbles had moved from the prepontine and premedullar cisterns toward the left retrochiasmal region. The homonymous hemianopsia resolved rapidly with conservative management including oxygen, intravenous fluid, and antibiotics. We report on this case with a brief review of the related literature.
