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Acute Subdural Hematoma Following Spinal Cerebrospinal Fluid Drainage in a Patient with Freezing of Gait

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BackgroundaaHeadache is a common complication of lumbar puncture (LP). Although in most cases post-LP headaches are not severe and have a benign course, they can also be a manifestation of a potentially life-threatening complication such as subdural hematoma (SDH). Case ReportaaWe describe a patient in whom a massive SDH developed after LP and cerebrospinal fluid (CSF) drainage, which were performed during the diagnostic evaluation of freezing of gait. ConclusionsaaSDH should not be excluded from the differential diagnosis of headache following LP, especially when there is a loss of CSF.

Abstract

BackgroundaaHeadache is a common complication of lumbar puncture (LP). Although in most cases post-LP headaches are not severe and have a benign course, they can also be a manifestation of a potentially life-threatening complication such as subdural hematoma (SDH). Case ReportaaWe describe a patient in whom a massive SDH developed after LP and cerebrospinal fluid (CSF) drainage, which were performed during the diagnostic evaluation of freezing of gait. ConclusionsaaSDH should not be excluded from the differential diagnosis of headache following LP, especially when there is a loss of CSF.

참고문헌 (5)

  1. Kuntz KM, "Post-lumbar puncture headaches: experience in 501 consecutive procedures", Neurology, 42, pp.1884~1887 (1992)
  2. Newrick P, "Subdural haematoma as a complication of spinal anaesthetic", Br Med J, 285, pp.341~342 (1982)
  3. Martín-Millán M, "Multiple subdural haematomas following lumbar puncture", Eur Neurol, 53, pp.159~160 (2005)
  4. Markwalder TM, "Chronic subdural hematomas: a review", J Neurosurg, 54, pp.637~645 (1981)
  5. Chung SJ, "Subdural hematoma in spontaneous CSF hypovolemia", Neurology, 67, pp.1088~1089 (2006)

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