Department of Neurosurgery, CHA University, Bundang CHA Medical Center, Sungnam, Republic of Korea.
J Clin Neurosci. 2013 Feb;20(2):325-8. doi: 10.1016/j.jocn.2012.02.022. Epub 2012 Dec 7.
Epidural blood patch (EBP) is an effective procedure for the treatment of spontaneous intracranial hypotension (SIH). Neurological compromise following EBP, although rare, is recognized as a serious potential complication. We describe a 33-year-old female patient in whom long-term bladder and bowel dysfunction developed following a small volume (10 mL) EBP to treat SIH. We also discuss the possible pathophysiological mechanisms related to this complication in the postprocedure setting.
硬膜外血贴（EBP）是治疗自发性颅内低血压（SIH）的有效方法。尽管 EBP 后出现神经功能障碍很少见，但已被认为是一种严重的潜在并发症。我们描述了一位 33 岁的女性患者，在接受小容量（10 毫升）EBP 治疗 SIH 后出现长期膀胱和肠道功能障碍。我们还讨论了该并发症在术后可能的病理生理机制。
