Post lumbar puncture spinal subarachnoid hematoma causing paraplegia: a short report.
A 53 year old male underwent total excision of a large sphenoidal wing meningioma. Patient was treated with cephalosporins and phenytoin for postoperative meningitis. Three weeks after surgery, a follow up lumbar puncture was done. The patient became paraplegic over a few hours. Imaging of the dorsolumbar spine and other investigations demonstrated a large intraspinal hematoma caused by thrombocytopenia which was probably drug induced. After normalising the platelet count surgical evacuation of the spinal subarachnoid hematoma was done. Relevant literature is reviewed.
Pai
S Balaji
SB
Department of Neurosurgery, M.S. Ramaiah Medical College, Bangalore - 560054, India.
Krishna
K N
KN
Chandrashekar
S
S
D006406:Hematoma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology* / Q000473:pathology; D013116:Spinal Cord; D013129:Spinal Puncture / Q000009:adverse effects*; D013345:Subarachnoid Hemorrhage / Q000209:etiology* / Q000473:pathology