Complications of lumbar puncture with injection of hydrosoluble material.
We report two cases of severe disorders after spinal puncture with injection of hydrosoluble material. The first case concerned a 36-year-old woman with intrathecal injection of 125 ml of hydrocortisone acetate. An intracranial occipital hematoma developed. The second case concerned a 26-year-old man with intrathecal injection of contrast media and hydrocortisone. A chemical meningitis occurred. In both cases the natural course was favorable. Both complications are well known but rare. A review of the literature is made with description of the mechanisms. Preventive therapeutic measures are reported.
Hoeffel
C
C
Service de Radiologie B, Hôpital Cochin, Paris, France.
Gaucher
H
H
Chevrot
A
A
Hoeffel
J C
JC
D000328:Adult; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D003287:Contrast Media / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D006854:Hydrocortisone / Q000009:adverse effects*; D007278:Injections, Spinal; D008297:Male; D008581:Meningitis / Q000139:chemically induced*; D009778:Occipital Lobe / Q000000981:diagnostic imaging; D012996:Solutions; D013129:Spinal Puncture / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D012996:Solutions; D006854:Hydrocortisone