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PubMed1984

Fatal intracranial extension of spinal hemorrhage after lumbar puncture.

Lumbar puncture (LP) is sometimes performed in addition to computed tomography (CT) to exclude hemorrhage prior to anticoagulation for suspected cerebral ischemia. The LP may be complicated by spinal hemorrhage during subsequent anticoagulation. We report such a case with an eventually fatal outcome due to intracranial extension of blood. On balance, the use of LP in addition to CT in this setting appears to be unwise.

Aged↗
PubMed1997

[Post-lumbar puncture syndrome. Causes, prevention, treatments].

Spinal tape syndrome requires rapid diagnosis and adapted treatment. A relatively small diameter needle inserted parallel to the dura mata fibers is the best preventive measure. The ventral supine position for a few hours followed by a short walk is sufficient. Caffeine may also be prescribed and has been shown to be as effective orally or intravenously. For severe or persistent syndromes, the blood-patch is remarkably effective and simple to use.

Headache↗
PubMed1982

[Spinal subdural hematoma. An unusual complication of lumbar puncture (author's transl)].

Spinal subdural hematoma following lumbar puncture occurred in a patient with embolic hemiplegia. The authors discuss the possible responsibility of heparin administered immediately after the tap. Physiological mechanisms of spinal subdural hematoma are reviewed. The authors emphasize the poor prognosis associated with this rare complication. They suggest that anticoagulant therapy be discontinued during and after a spinal tap. The first signs of medullary and radicular compression should be promptly recognized and an emergency neurosurgical procedure undertaken in order to forestall definitive paraplegia.

Female↗
PubMed1965

LUMBAR PUNCTURE.

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Equipment and Supplies↗