Perez M, Olmos M, Garrido F J
Department of Anesthesiology, Cruces Hospital, Baracaldo, Spain.
Reg Anesth. 1993 May-Jun;18(3):196-8.
BACKGROUND. A 35-year-old parturient developed a unilateral facial nerve palsy after an epidural blood patch for treatment of subarachnoid-cutaneous fistula. CONCLUSIONS. Idiopathic facial paralysis and other pathogenic mechanisms are discussed. The course of the events support the suggestion that changes in subarachnoid and epidural pressures after an epidural blood patch could precipitate an injury to the 7th nerve.
背景。一名35岁的产妇在接受硬膜外血贴治疗蛛网膜下腔-皮肤瘘后出现单侧面神经麻痹。结论。讨论了特发性面神经麻痹及其他致病机制。事件的过程支持这样一种观点，即硬膜外血贴后蛛网膜下腔和硬膜外压力的变化可能导致第7对神经损伤。
