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Temporary homonymous hemianopsia after epidural blood patch
Hyeonkyeong Yeon1, Young-Ok Shin, Oh-Young Lee
1Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
Obstetrics & Gynecology Science
|December 12, 2013
Summary
Sudden homonymous hemianopsia occurred after an epidural blood patch for post-dural puncture headache. Air bubbles were seen in the brain, but vision rapidly improved with conservative treatment.
Area of Science:
- Neurology
- Ophthalmology
- Anesthesiology
Background:
- Post-dural puncture headache is a known complication of spinal anesthesia.
- Epidural blood patch is a common treatment for persistent post-dural puncture headache.
Observation:
- A patient developed sudden homonymous hemianopsia after an epidural blood patch.
- Imaging revealed air bubbles in the retrochiasmal region, suggesting a possible complication of the procedure.
Findings:
- The homonymous hemianopsia resolved quickly with conservative management, including oxygen, IV fluids, and antibiotics.
- This case highlights a rare but significant visual complication following an epidural blood patch.
Implications:
- Awareness of this potential complication is crucial for clinicians performing epidural blood patches.
- Prompt conservative management may lead to rapid visual recovery in such cases.
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