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JOURNAL OF NEUROSURGICAL SCIENCES
Rivista di Neurochirurgia
Indexed/Abstracted in: e-psyche, EMBASE, PubMed/MEDLINE, Neuroscience Citation Index, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,651
Journal of Neurosurgical Sciences 1998 Dicembre;42(4):233-7
Extradural haematoma complicating lumbar puncture following a craniotomy. A case report
Mohanty A. 1, Vasudev M. K. 2, Chandra P. S. 1
1 Departments of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India;
2 Department of Neuroradiology, National Institute of Mental Health and Neurosciences, Bangalore, India
Background. This case report illustrates the development of an intracranial extradural haematoma (EDH) as an uncommon complication of a lumbar puncture.
Clinical presentation. A 10-year-old girl operated for intra-third ventricular cysticercosis developed postlumbar puncture headache after a drainage lumbar puncture (LP) on the 7th post-operative day. CT scan revealed a right frontal EDH away from the operative site.
Intervention. The child was managed conservatively in view of her preserved sensorium.
Results. The child had an uneventful recovery. Follow-up CT scans showed resolution of the haematoma.
Conclusions. LP, though considered to be a safe procedure, may rarely be associated with a potentially lethal intracranial haematoma, which can be managed successfully if diagnosed at an early stage.