Temporary homonymous hemianopsia after epidural blood patch
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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.
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.
참고문헌 (10)
- Kattah JC, "Computed tomography in patients with homonymous visual field defects : a clinico-radiologic correlation", Comput Tomogr, 5, pp.301~312 (1981)
- Zhang X, "Homonymous hemianopias : clinical-anatomic correlations in 904 cases", Neurology, 66, pp.906~910 (2006)
- Trobe JD, "Isolated homonymous hemianopia : a review of 104 cases", Arch Ophthalmol, 89, pp.377~381 (1973)
- 이승수, "경막 천자후 두통을 치료하기 위해 자가 혈액 봉합술을 시행한 후 발생한 기뇌증 —증례보고—", Korean Journal of Anesthesiology, 53(3), pp.387~390 (2008), 대한마취통증의학회
- Hurtado TR, "Pneumocephalus secondary to an epidural blood patch", Am J Emerg Med, 25, pp.244~246 (2007)
- Kawamata T, "Pneumocephalus following an epidural blood patch", Acta Anaesthesiol Scand, 47, pp.907~909 (2003)
- Becker WJ, "Pneumocephalus as a cause for headache", J Neurol Sci, 29, pp.278~281 (2002)
- Laviola S, "Pneumocephalus with intense headache and unilateral pupillary dilatation after accidental dural puncture during epidural anesthesia for cesarean section", Anesth Analg, 88, pp.582~583 (1999)
- Lee KS, "Effect of epidural autologous blood patch on the prevention of post-dural puncture headache after spinal anesthesia", Korean J Anesthesiol, 35, pp.933~938 (1998)
- Vasdev GM, "Pneumocephalus following the treatment of a postdural puncture headache with an epidural saline infusion", J Clin Anesth, 6, pp.508~511 (1994)