Facial nerve paralysis and partial brachial plexopathy after epidural blood patch: a case report and review of the literature.

Abstract

We report a complication related to epidural analgesia for delivery in a 24- year-old woman who was admitted with mild pre-eclampsia and for induction of labor. At the first postpartum day she developed a postdural puncture headache, which was unresponsive to conservative measures. On the fifth day an epidural blood patch was done, and her headache subsided. Sixteen hours later she developed paralysis of the right facial nerve, which was treated with prednisone. Seven days later she complained of pain in the left arm and the posterior region of the shoulder. She was later admitted and diagnosed with partial brachial plexopathy.

• Authors: Radi Shahien, Abdalla Bowirrat
• Journal: Journal of pain research (J Pain Res) Vol. 4 Pg. 39-45 (Feb 02 2011) ISSN: 1178-7090 [Electronic] New Zealand
• PMID: 21386953 (Publication Type: Case Reports)