title: [Case of transient paralysis and paresthesia after epidural blood patch].
abstract: A 47-year-old woman with postdural puncture headache suffered from transient paralysis and paresthesia immediately after the epidural blood patch. After one and a half hour, these symptoms disappeared spontaneously. We suspect that the spinal cord or spinal nerve root was transiently pressed by the viscous blood mass, because blood sampling maneuver took a few minutes. With passing of time, the viscous blood spread through the epidural space, and neurological symptoms improved. Although the risks of epidural blood patch are relatively low, we should closely pay attention to unexpected side effects.
authors.affiliation: Department of Anesthesia, Higashiosaka City General Hospital, Higashiosaka 578-8588.
authors.forename: Tae
authors.initials: T
authors.lastname: Kinoshita
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Takeda
authors.forename: Jun
authors.initials: J
authors.lastname: Morishita
authors.forename: Norihiro
authors.initials: N
authors.lastname: Shimada
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Yamaki
authors.forename: Hisao
authors.initials: H
authors.lastname: Komatsu
authors.forename: Kosuke
authors.initials: K
authors.lastname: Chujo
mesh_terms: D000771:Anesthesia, Intravenous; D017217:Blood Patch, Epidural / Q000009:adverse effects*; D004824:Epidural Space; D005260:Female; D005283:Fentanyl; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology*; D010292:Paresthesia / Q000209:etiology*; D051299:Post-Dural Puncture Headache / Q000209:etiology / Q000628:therapy*; D015742:Propofol; D013129:Spinal Puncture / Q000009:adverse effects; D013997:Time Factors
chemical_list: D005283:Fentanyl; D015742:Propofol