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7th nerve palsy after extradural blood patch.

D M Lowe1, A M McCullough

  • 1British Military Hospital Rinteln.

British Journal of Anaesthesia
|November 1, 1990
PubMed
Summary
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A patient experienced temporary facial nerve (7th cranial nerve) palsy after an extradural blood patch procedure. Full recovery occurred, and the potential cause is explored.

Area of Science:

  • Neurology
  • Neurosurgery
  • Anesthesiology

Background:

  • Extradural blood patch is a common procedure for treating cerebrospinal fluid leaks.
  • Cranial nerve palsies are rare but serious complications following neuraxial procedures.

Observation:

  • A case report detailing a patient who developed a 7th cranial nerve palsy.
  • The palsy manifested subsequent to undergoing an extradural blood patch procedure.

Findings:

  • The patient experienced temporary paralysis of the facial nerve (7th cranial nerve).
  • Full neurological recovery was achieved following the onset of the palsy.

Implications:

  • This case highlights a potential, albeit uncommon, neurological complication associated with extradural blood patches.

Related Experiment Videos

  • Understanding the likely etiology is crucial for patient counseling and procedural safety in neuroanesthesia.