title: Bladder and bowel dysfunction following small-volume epidural blood patch for spontaneous intracranial hypotension.
abstract: 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.
authors.affiliation: Department of Neurosurgery, CHA University, Bundang CHA Medical Center, Sungnam, Republic of Korea.
authors.forename: In Bo
authors.initials: IB
authors.lastname: Han
authors.forename: Alexander E
authors.initials: AE
authors.lastname: Ropper
authors.forename: Yang D
authors.initials: YD
authors.lastname: Teng
authors.forename: Yun Hye
authors.initials: YH
authors.lastname: Ryoo
authors.forename: Okjoon
authors.initials: O
authors.lastname: Kim
mesh_terms: D000328:Adult; D017217:Blood Patch, Epidural / Q000009:adverse effects*; D005242:Fecal Incontinence / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D019585:Intracranial Hypotension / Q000175:diagnosis / Q000628:therapy*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000209:etiology; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000209:etiology