BACKGROUND AND OBJECTIVES: Lumbar epidural blood patch (EBP) is a commonly used procedure to treat postdural puncture @entity10 . We present a case of @entity1018 immediately following an EBP. CASE REPORT: A 49-year-old @entity1 with @entity5576 received an EBP for postdural puncture @entity10 at an outside facility without fluoroscopic guidance and in the seated position. The @entity1 experienced @entity1163 during the procedure as 25 mL of autologous blood was rapidly injected. The @entity1 regained @entity1662 and described bilateral @entity1018 . Brain magnetic resonance imaging was negative for @entity548 . Dilated fundus examination revealed significant, bilateral retinal and @entity548 consistent with @entity751 . CONCLUSIONS: This @entity1 developed @entity751 as an immediate EBP complication. Iatrogenic @entity751 has been previously described with epidural space saline and anesthetic injections, but not EBP. Of 11 reported cases, 10 were female, and 9 had complete vision recovery. Previous studies have demonstrated that epidural space injection increases subarachnoid pressure in a volume- and rate-dependent fashion. An abrupt increase in subarachnoid space pressure likely led to @entity5861 by compromising retinal venous drainage. This is the first known case of @entity751 caused by EBP. Injectate volume should be minimized, and a slow rate of injection pursued. The anesthesiologist, @entity158 interventionist, and ophthalmologist should be aware of this rare but disabling complication and consider taking extra precautions when consenting @entity1 for EBP with vision compromise or comorbidities concerning for @entity428 .

Acute XXXX Secondary to Epidural Blood Patch: Terson Syndrome.

@entity1018 :: ('MESH:D054062', 'Disease') :: ['vision loss'] @entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage', 'vitreous hemorrhage'] @entity428 :: ('MESH:D019586', 'Disease') :: ['elevated intracranial pressure'] @entity1163 :: ('MESH:D013575', 'Disease') :: ['syncope'] @entity751 :: ('MESH:D013577', 'Disease') :: ['Terson syndrome'] @entity5861 :: ('MESH:D012166', 'Disease') :: ['retinal hemorrhage'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1662 :: ('MESH:D003244', 'Disease') :: ['consciousness'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity5576 :: ('MESH:D011559', 'Disease') :: ['idiopathic intracranial hypertension']
@entity1018 :: (MESH:D054062,Disease) :: ['Vision Loss']
