[Case of transient paralysis and paresthesia after epidural blood patch].
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.
Kinoshita
Tae
T
Department of Anesthesia, Higashiosaka City General Hospital, Higashiosaka 578-8588.
Takeda
Toshihiro
T
Morishita
Jun
J
Shimada
Norihiro
N
Yamaki
Ryoichi
R
Komatsu
Hisao
H
Chujo
Kosuke
K
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
D005283:Fentanyl; D015742:Propofol