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Case Report
Facial Nerve Paralysis After Epidural Blood Patch
  1. Maria Perez, M.D.*,
  2. Miguel Olmos, M.D.** and
  3. Javier F. Garrido, M.D.*
  1. From the Department of Anesthesiology, Cruces Hospital, Baracaldo, Spain.
  2. *Resident in Anesthesiology.
  3. **Staff Anesthesiologist.
  1. Address correspondence and reprint requests to Maria Perez, M.D., Department of Anesthesiology, Cruces Hospital, 48903 Baracaldo, Vizcaya, Spain.

Abstract

Background. A 35-year-old parturient developed a unilateral facial nerve palsy after an epidural blood patch for treatment of subarachnoid-cutaneous fistula.

Conclusions. Idiopathic facial paralysis and other pathogenic mechanisms are discussed. The course of the events support the suggestion that changes in subarachnoid and epidural pressures after an epidural blood patch could precipitate an injury to the 7th nerve.

  • Anesthesia
  • epidural
  • anesthetic techniques
  • epidural blood patch
  • complications
  • facial paralysis.

https://doi.org/10.1136/rapm-00115550-199318030-00013

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