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硬膜外血贴术后暂时性同向偏盲

Temporary homonymous hemianopsia after epidural blood patch.

作者信息

Yeon Hyeonkyeong, Shin Young-Ok, Lee Oh-Young, Kwon Eunjeong, Jeong Eun-Hwan

机构信息

Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.

出版信息

Obstet Gynecol Sci. 2013 Mar;56(2):130-3. doi: 10.5468/OGS.2013.56.2.130. Epub 2013 Mar 12.

DOI:10.5468/OGS.2013.56.2.130
PMID:24327992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3784099/
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.

摘要

我们描述了一例硬膜外血贴术后突然出现同向性偏盲的病例。该手术是在一名脊髓麻醉下行急诊剖宫产术后出现硬膜穿刺后头痛的患者身上进行的。计算机断层扫描和磁共振成像显示气泡从脑桥前池和延髓前池向左侧视交叉后区域移动。通过包括吸氧、静脉输液和抗生素在内的保守治疗，同向性偏盲迅速缓解。我们报告此病例并简要回顾相关文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58f/3784099/1e6ec6c75f26/ogs-56-130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58f/3784099/2a250306834d/ogs-56-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58f/3784099/1e6ec6c75f26/ogs-56-130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58f/3784099/2a250306834d/ogs-56-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58f/3784099/1e6ec6c75f26/ogs-56-130-g002.jpg

相似文献

1
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本文引用的文献

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Pneumocephalus secondary to an epidural blood patch.
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Homonymous hemianopias: clinical-anatomic correlations in 904 cases.同向偏盲：904例临床与解剖学相关性研究
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Pneumocephalus following an epidural blood patch.硬膜外血贴后出现气颅。
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Pneumocephalus as a cause for headache.气颅作为头痛的一个原因。
Can J Neurol Sci. 2002 Aug;29(3):278-81. doi: 10.1017/s0317167100002079.
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Pneumocephalus with intense headache and unilateral pupillary dilatation after accidental dural puncture during epidural anesthesia for cesarean section.剖宫产硬膜外麻醉期间意外硬膜穿刺后出现气颅伴剧烈头痛和单侧瞳孔散大。
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Pneumocephalus following the treatment of a postdural puncture headache with an epidural saline infusion.硬膜外输注生理盐水治疗硬膜穿刺后头痛后出现的气颅。
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Computed tomography in patients with homonymous visual field defects--A. Clinico-radiologic correlation.
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Isolated homonymous hemianopia. A review of 104 cases.孤立性同向偏盲。104例病例回顾。
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