Book review

https://doi.org/10.20471/acc.2022.61.01.19

Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report

Tomislav Paun ; Department of Neurology, Požega General Hospital, Požega, Croatia
Iris Zavoreo ; Department of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Miljenka-Jelena Jurašić ; Department of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ana Jadrijević Tomas ; Department of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Vanja Bašić Kes ; Department of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

Abstract

Spinal subdural hematoma caused by lumbar puncture is a rare state of acute
blood clot in spinal subdural space, and in some cases, it can be the cause of local compression and
consecutive neurological symptoms. We present a 36-year-old female patient who was hospitalized
due to persistent headache despite pharmacological therapy. Therefore, we performed lumbar puncture
in order to measure intracranial pressure and evaluate cerebrospinal fluid. After lumbar puncture, the
patient was complaining of pain in the lumbar region. Emergency magnetic resonance imaging (MRI)
of the lumbosacral (LS) region was performed to show acute subdural hematoma of up to 7.3 mm in
the dorsal part of the spinal canal at the level of L1 vertebra to the inferior endplate of L4 vertebra.
Repeat LS MRI after 3 hours showed unchanged finding. The patient reported gradual regression of
pain in the LS region over the next few days, therefore conservative treatment was applied. Patients
with a previously known blood clotting disorder and patients on anticoagulation therapy have worse
outcome as compared with patients without such disorders. During treatment, it is necessary to monitor
patient clinical state and consider the need of surgical treatment.

Keywords

Lumbar puncture; Complications; Subdural hematoma

Hrčak ID:

280283

URI

https://hrcak.srce.hr/280283

Publication date:

1.3.2022.

Article data in other languages: croatian

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