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01-10-2021 | Epidural Hematoma | Letter to the Editor

Intracranial epidural hematoma following lumbar puncture

Authors: Iryna Vynogradova, Steffen Ulrich Pauli, Josef Georg Heckmann

Published in: Acta Neurologica Belgica | Issue 5/2021

Excerpt

Despite technical advances and changes in the indication, lumbar puncture (LP) is an important and indispensable procedure for diagnostic and therapeutic purposes in neurological disorders. LP is generally considered safe, but complications such as post-puncture headache, hypoacusis, cranial nerve palsies and subdural hematoma can occur [1, 2]. Recently, the risk of spinal epidural hematoma (EDH) following LP was evaluated 0.2% among patients without coagulopathy and 0.23% among those with coagulopathy [3]. By our own clinical observation and one additional reported case in the literature, we wish to red-flag that even intracranial EDH can occur after LP [4]. …

Costerus JM, Brouwer MC, van de Beek D (2018) Technological advances and changing indications for lumbar puncture in neurological disorders. Lancet Neurol 17:268–278CrossRef

Vos PE, de Boer WA, Wurzer JA, van Gijn J (1991) Subdural hematoma after lumbar puncture: two case reports and review of the literature. Clin Neurol Neurosurg 93:127–132CrossRef

Bodilsen J, Mariager T, Vestergaard HH, Christiansen MH, Kunwald M, Lüttichau HR, Kristensen BT, Bjarkam CR, Nielsen H (2020) Association of lumbar puncture with spinal hematoma in patients with and without coagulopathy. JAMA 324:1419–1428CrossRef

Patel BA, Williams NR, Pritchard PB (2013) Unique case of “post-lumbar puncture headache.” Headache 53:1479–1481PubMedPubMedCentral

Papadopoulos MC, Dyer A, Hardwidge C (2001) Spontaneous extradural haematoma with sinusitis. J R Soc Med 94:588–589CrossRef

Li ZJ, Sun P, Dou YH, Lan XL, Xu J, Zhang CY, Wang JP (2012) Bilateral supratentorial epidural hematomas: a rare complication in adolescent spine surgery. Neurol Med Chir (Tokyo) 52:646–648CrossRef

Gregori F, Santoro G, Mancarella C, Piccinilli M, Domenicucci M (2019) Development of a delayed acute epidural hematoma following contralateral epidural hematoma evacuation: case report and review of the literature. Acta Neurol Belg 119:15–20CrossRef

Nemir J, Peterkovic V, Trninic I, Dornazet I, Baric H, Vukic M (2018) Intracranial epidural haematoma following surgical removal of a giant lumbosacral schwannoma: a case report and review of the literature. Pediatr Neurosurg 53:89–93CrossRef

Title: Intracranial epidural hematoma following lumbar puncture
Authors: Iryna Vynogradova
Steffen Ulrich Pauli
Josef Georg Heckmann
Publication date: 01-10-2021
Publisher: Springer International Publishing
Keywords: Epidural Hematoma
Neck Pain
Headache
Published in: Acta Neurologica Belgica / Issue 5/2021
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI: https://doi.org/10.1007/s13760-021-01621-5

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Intracranial epidural hematoma following lumbar puncture

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