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요추천자 후 발생한 척수경막하혈종

Spinal Subdural Hematoma After Lumbar Puncture

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초록

Lumbar puncture is a simple bedside procedure that is essential for the diagnosis and treatment of several neurologicdiseases. Known complications include headache, backache, infection, and hemorrhage, with the most common beingpostpuncture headache. We report a case of postpuncture spinal subdural hematoma-which is extremely rare-in a29-year-old female. Although most cases of postpuncture spinal hematomas are associated with coagulationabnormalities, this case shows that it can occur in the absence of predisposing factors.

Abstract

Lumbar puncture is a simple bedside procedure that is essential for the diagnosis and treatment of several neurologicdiseases. Known complications include headache, backache, infection, and hemorrhage, with the most common beingpostpuncture headache. We report a case of postpuncture spinal subdural hematoma-which is extremely rare-in a29-year-old female. Although most cases of postpuncture spinal hematomas are associated with coagulationabnormalities, this case shows that it can occur in the absence of predisposing factors.

참고문헌 (9)

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  2. Yılmaz C, "A case of hemophilia a presenting with paraparesis following lumbar puncture", Dicle Medical Journal, 38, pp.511~513 (2011)
  3. Paal P, "Subarachnoid hemorrhage after lumbar puncture in a patient receiving aspirin and clopidrogel", Anesth Analg, 102, pp.644~645 (2006)
  4. Kasliwal MK, "Spinal subdural haematoma following traumatic lumbar puncture in a patient with normal coagulation profile", Pan Arab J Neurosurgery, 14, pp.96~98 (2010)
  5. Evans RW, "Complications of lumbar puncture", Neurol Clin, 16, pp.83~105 (1998)
  6. Gaucher DJ Jr, "Subdural hematoma following lumbar puncture", Arch Intern Med, 162, pp.1904~1205 (2002)
  7. Ruff RL, "Complications of lumbar puncture followed by anticoagulation", Stroke, 12, pp.879~881 (1981)
  8. Gutterman P, "Acute spinal subdural hematoma following lumbar puncture", Surg Neurol, 7, pp.355~365 (1977)
  9. Braun P, "MRI findings in spinal subdural and epidural hematomas", Eur Radiol, 64, pp.119~125 (2007)

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