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      Temporary homonymous hemianopsia after epidural blood patch

      case-report

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          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.

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          Author and article information

          Journal
          Journal ID (nlm-ta): Obstet Gynecol Sci
          Journal ID (iso-abbrev): Obstet Gynecol Sci
          Journal ID (publisher-id): OGS
          Title: Obstetrics & Gynecology Science
          Publisher: Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology
          ISSN (Print): 2287-8572
          ISSN (Electronic): 2287-8580
          Publication date (Print): March 2013
          Publication date (Electronic): 12 March 2013
          Volume: 56
          Issue: 2
          Pages: 130-133
          Affiliations
          [1 ]Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
          [2 ]Department of Anesthesia and Pain Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
          [3 ]Chungbuk National University Medical Research Institute, Cheongju, Korea.
          Author notes
          Corresponding author: Eun-Hwan Jeong. Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, 776 1-Sunhwan-ro, Heungdeok-gu, Cheongju 361-711, Korea. Tel: +82-43-269-6052, Fax: +82-43-275-7359, jeongmed@ 123456chungbuk.ac.kr
          Article
          DOI: 10.5468/OGS.2013.56.2.130
          PMC ID: 3784099
          SO-VID: 781d014c-e8a2-4f89-a0ad-9ae81461d963
          Copyright © Copyright © 2013 Korean Society of Obstetrics and Gynecology
          License:

          Articles published in Obstet Gynecol Sci are open-access, distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

          History
          Date received : 28 September 2012
          Date revision received : 22 November 2012
          Date accepted : 22 November 2012
          Categories
          Subject: Case Report

          Keywords: epidural blood patch,homonymous hemianopsia,pneumocephalus,post-dural puncture headache
          Data availability:
          Keywords: epidural blood patch, homonymous hemianopsia, pneumocephalus, post-dural puncture headache

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