Hypotension intracr芒nienne s茅v猫re associ茅e 脿 un h茅matome sous-dural 脿 la suite d鈥檜ne ponction lombaire diagnostique聽: cas clinique

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• 作者：S. Trunet ; C.F. Litré ; ; ^{Fabien.litre@mac.com} ; H. Tran ; D. Marnet ; P. Rousseaux
• 关键词：Intracranial hypotension syndrome ; Lumbar puncture ; Subdural hematoma ; Tonsilar herniation
• 刊名：Neurochirurgie
• 出版年：2008
• 期刊代码：pca376_00283770
• 类别：neu
• 出版时间：April 2008
• 卷：54
• 期：2
• 页码：85-88
• 文件大小：744 K

摘要

Background and purpose

Lumbar puncture is a common procedure highly contributive to neurological diagnosis. It can also cause serious adverse side effects including subdural hematoma and intracranial hypotension as illustrated by this case report.

Case report

A 38-year-old women presented severe intracranial hypotension after a lumbar puncture. Magnetic resonance imaging was compatible with intracranial hypotension and revealed an acute subdural hematoma with midline deviation. A first blood patch was unsuccessful. Symptom relief was achieved with a second patch. The patient was, then, discharged but developed recurrent headache subsequent to the transformation from acute to chronic subdural hematoma. Surgical drainage was required. The postoperative imaging and physical examination returned to normal and the patient was discharged with no recurrence.

Conclusion

The serious adverse effects of lumbar puncture is an easy and common medical procedure that must be kept in mind.