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.
Subject(s)
Blood Patch, Epidural/adverse effects , Paralysis/etiology , Paresthesia/etiology , Post-Dural Puncture Headache/therapy , Anesthesia, Intravenous , Epidural Space , Female , Fentanyl , Humans , Hysterectomy , Middle Aged , Post-Dural Puncture Headache/etiology , Propofol , Spinal Puncture/adverse effects , Time FactorsABSTRACT
A 27-year-old pregnant woman was scheduled for cesarean section under spinal anesthesia. Although there was no trouble in three repeated spinal punctures, the anesthetic effect was insufficient. Then we changed anesthetic management to general anesthesia. There was no postoperative neurological complications related to spinal anesthesia. Postoperatively, spinal arachnoid cyst was found by MRI. The cyst was thought to have caused insufficient analgesic effect of spinal anesthesia in this patient.
