Transient bladder and fecal incontinence following epidural blood patch.
| Autor: | Palomero-Rodríguez MA; Department of Anesthesiology, Grupo HM Hospitales, Madrid, Spain., Palacio-Abinzada FJ; Department of Anesthesiology, Grupo HM Hospitales, Madrid, Spain., Campollo SC; Department of Anesthesiology, Grupo HM Hospitales, Madrid, Spain., Laporta-Báez Y; Department of Anesthesiology, Mostoles University Hospital, Madrid, Spain., Mendez Cendón JC; Department of Radiology, Ramón y Cajal University Hospital, Madrid, Spain., López-García A; Department of Anesthesiology, Grupo HM Hospitales, Madrid, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | Saudi journal of anaesthesia [Saudi J Anaesth] 2015 Oct-Dec; Vol. 9 (4), pp. 467-9. |
| DOI: | 10.4103/1658-354X.159478 |
| Abstrakt: | Epidural blood patch (EBP) is the currently accepted treatment of choice for postdural puncture headache because of its high initial success rates and infrequent complications. Many authors recommended a small volume (10-20 mL) of blood to be delivered for an effective EBP. Here, we report an obstetric patient who developed a transient bladder and fecal incontinence after 19 mL of blood EBP at L1 -L2 level. Since the magnetic resonance image did not demonstrate any definitive spinal cord lesion, the exact mechanism remains unclear. We suggest that accumulation of blood performed at L1 to L2 level in a closed relationship with the sacral cord, may have trigger a significant pressure elevation of the epidural space at this level, resulting in a temporal spinal cord-related injury in the sacral cord. |
| Databáze: | MEDLINE |
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