title: Delayed Intraparenchymal Hematoma Following Diagnostic Lumbar Puncture.
abstract: Lumbar puncture is a safe and commonly performed procedure, with an overall complication rate of 0.1% to 0.5%. Well-known contraindications to lumbar puncture are an intracranial tumor, noncommunicating hydrocephalus, coagulopathy, and ruptured aneurysm with subarachnoid hemorrhage. We report a case of a young man with epilepsy who, after a lumbar puncture performed for research purposes, presented with an intracerebral hematoma and neurological deficits. To the best of our knowledge, post-tap intraparenchymal hematoma is extremely rare and only 1 case has been reported previously. In consideration, all patients undergoing a lumbar puncture should be informed about this possible rare complication, even in the absence of documented hemorrhagic risk factors.
authors.affiliation: Departments of *Neurology and Psychiatry, Neurosurgery †Medico-Surgical Sciences and Biotechnologies, Neurology Unit, "A. Fiorini" Hospital Terracina, LT ‡Neurology and Psychiatry, "Sapienza" University of Rome, Rome, Italy.
authors.forename: Gennaro
authors.initials: G
authors.lastname: Lapadula
authors.forename: Federico
authors.initials: F
authors.lastname: Caporlingua
authors.forename: Alessandro
authors.initials: A
authors.lastname: Caporlingua
authors.forename: Antonio
authors.initials: A
authors.lastname: Currà
authors.forename: Francesco
authors.initials: F
authors.lastname: Fattapposta
authors.forename: Paolo
authors.initials: P
authors.lastname: Missori
mesh_terms: D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D004827:Epilepsy / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013129:Spinal Puncture / Q000009:adverse effects*; D013345:Subarachnoid Hemorrhage / Q000209:etiology*; D014057:Tomography, X-Ray Computed
chemical_list: D000927:Anticonvulsants; D002220:Carbamazepine