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ULTIMO FASCICOLOJOURNAL OF NEUROSURGICAL SCIENCES

Rivista di Neurochirurgia


Indexed/Abstracted in: e-psyche, EMBASE, PubMed/MEDLINE, Neuroscience Citation Index, Science Citation Index Expanded (SciSearch), Scopus
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Journal of Neurosurgical Sciences 1998 Dicembre;42(4):233-7

 CASE REPORTS

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.

lingua: Inglese


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