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KMID : 0358420130560020130
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Korean Journal of Obstetrics and Gynecology
2013 Volume.56 No. 2 p.130 ~ p.133
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Temporary homonymous hemianopsia after epidural blood patch
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Yeon Hyeon-Kyeong
Shin Young-Ok
Lee Oh-Young
Kwon Eun-Jeong
Jeong Eun-Hwan
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Abstract
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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.
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KEYWORD
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Epidural blood patch, Homonymous hemianopsia, Pneumocephalus, Post-dural puncture headache
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