Lumbar puncture complicated by spinal epidural hematoma in a child with leukemia
نویسندگان
چکیده
We report a case of spinal epidural hematoma (SEH) preceded by diagnostic lumbar puncture (LP) in a 5-year-old boy with acute lymphoblastic leukemia. MRI confirmed the presence of SEH between T7 and L5 levels, but the patient showed fast recovery during the next hours and conservative management was elected.
منابع مشابه
Spinal epidural hematoma induced by leukemia.
Spinal epidural hematoma, a potentially devastating problem, requires rapid diagnosis and urgent surgical intervention. Two types of spinal epidural hematoma have been described in the literature: traumatic and nontraumatic.1 Traumatic spinal epidural hematoma has been attributed to spine surgery,2 epidural catheter placement,3 lumbar puncture,4 and chiropractic manipulation.5 Nontraumatic, or ...
متن کاملبیحسی کامل نخاعی در بیمار مبتلا به آکندروپلازی: گزارش موردی
Background: Total spinal anesthesia is a complication of lumbar epidural anesthesia following undiagnosed subarachnoid or subdural injection of local anesthetic. Although many achondroplastic dwarfs have a normal spine, catheter insertion may be more problematic with a narrow epidural space making a subarachnoid tap more probable. Other malformations associated with achondroplasia, such as pro...
متن کاملLumbar epidural hematoma following lumbar puncture: the role of high dose LMWH and late surgery. A case report.
Spinal epidural hematoma (SEH) is a known complication of spinal surgery, but the incidence of post-surgical SEHs that result in neurologic deficits is extremely rare (0.1%). Patients that require multilevel lumbar procedures and/or have a preoperative coagulopathy are at a significantly higher risk of developing an epidural hematoma. The introduction of higher dose of low molecular weight hepa...
متن کاملSpinal Epidural Hematoma Related to Intracranial Hypotension
A 45-year-old female patient visited the hospital complaining of severe sudden headache and posterior neck pain. The patient did not have any traumatic history or abnormal neurologic finding. The patient had sudden quadriplegia and sensory loss. Cervical spine MRI scan was taken, and the compatible findings to acute epidural hematoma were shown. The emergency operation was performed. After the ...
متن کاملPostpartum subdural hygroma after epidural analgesia.
THE formation of cranial subdural hematomas after lumbar puncture is a well-known complication of spinal anesthesia, although rare in young patients. Pathogenesis of this condition has been related to rupture of bridging veins joining the cerebral surface and the dura mater. The precipitating event in these cases is the continuous leakage of cerebrospinal fluid through the dural hole. More unus...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 3 شماره
صفحات -
تاریخ انتشار 2015