Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report
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 headac...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2022-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/406268 |
| _version_ | 1827282063736176640 |
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| author | Tomislav Paun Iris Zavoreo Miljenka-Jelena Jurašić Ana Jadrijević Tomas Vanja Bašić Kes |
| author_facet | Tomislav Paun Iris Zavoreo Miljenka-Jelena Jurašić Ana Jadrijević Tomas Vanja Bašić Kes |
| author_sort | Tomislav Paun |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T09:10:37Z |
| format | Article |
| id | doaj.art-959f26a7c18a4d08b4f1db84ee417c60 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:10:37Z |
| publishDate | 2022-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-959f26a7c18a4d08b4f1db84ee417c602024-04-15T17:51:45ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512022-01-0161.1.14915110.20471/acc.2022.61.01.19Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case ReportTomislav Paun0Iris Zavoreo1Miljenka-Jelena Jurašić2Ana Jadrijević Tomas3Vanja Bašić Kes4Department of Neurology, Požega General Hospital, Požega, CroatiaDepartment of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaSpinal 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.https://hrcak.srce.hr/file/406268Lumbar punctureComplicationsSubdural hematoma |
| spellingShingle | Tomislav Paun Iris Zavoreo Miljenka-Jelena Jurašić Ana Jadrijević Tomas Vanja Bašić Kes Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report Acta Clinica Croatica Lumbar puncture Complications Subdural hematoma |
| title | Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report |
| title_full | Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report |
| title_fullStr | Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report |
| title_full_unstemmed | Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report |
| title_short | Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report |
| title_sort | spinal subdural hematoma associated with lumbar puncture a case report |
| topic | Lumbar puncture Complications Subdural hematoma |
| url | https://hrcak.srce.hr/file/406268 |
| work_keys_str_mv | AT tomislavpaun spinalsubduralhematomaassociatedwithlumbarpunctureacasereport AT iriszavoreo spinalsubduralhematomaassociatedwithlumbarpunctureacasereport AT miljenkajelenajurasic spinalsubduralhematomaassociatedwithlumbarpunctureacasereport AT anajadrijevictomas spinalsubduralhematomaassociatedwithlumbarpunctureacasereport AT vanjabasickes spinalsubduralhematomaassociatedwithlumbarpunctureacasereport |