Bladder and bowel dysfunction following small-volume epidural blood patch for spontaneous intracranial hypotension

IB Han, AE Ropper, YD Teng, YH Ryoo… - Journal of Clinical …, 2013 - Elsevier
IB Han, AE Ropper, YD Teng, YH Ryoo, O Kim
Journal of Clinical Neuroscience, 2013Elsevier
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 (10mL)
EBP to treat SIH. We also discuss the possible pathophysiological mechanisms related to
this complication in the postprocedure setting.
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 (10mL) EBP to treat SIH. We also discuss the possible pathophysiological mechanisms related to this complication in the postprocedure setting.
Elsevier
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