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Related Experiment Videos

Facial nerve paralysis after epidural blood patch

M Perez1, M Olmos, F J Garrido

  • 1Department of Anesthesiology, Cruces Hospital, Baracaldo, Spain.

Regional Anesthesia
|May 1, 1993
PubMed
Summary

An epidural blood patch may cause facial nerve palsy. This condition, affecting the 7th cranial nerve, can occur due to pressure changes following the procedure.

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Area of Science:

  • Neurology
  • Anesthesiology
  • Obstetrics

Background:

  • A 35-year-old woman experienced unilateral facial nerve palsy after receiving an epidural blood patch.
  • The patient had undergone the procedure to treat a subarachnoid-cutaneous fistula.

Purpose of the Study:

  • To investigate the potential link between epidural blood patches and facial nerve palsy.
  • To explore pathogenic mechanisms contributing to post-procedural neurological deficits.

Main Methods:

  • Case report analysis.
  • Review of potential etiological factors for facial nerve palsy.
  • Discussion of physiological changes associated with epidural blood patches.

Main Results:

  • The patient developed unilateral facial nerve palsy subsequent to an epidural blood patch.
  • The temporal relationship suggests a possible causal link.

Conclusions:

  • Changes in cerebrospinal fluid and epidural space pressures following an epidural blood patch may injure the 7th cranial nerve.
  • Idiopathic facial paralysis and other mechanisms are considered, but procedural pressure alterations are a supported hypothesis.

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