Lumbar tap-induced subarachnoid hemorrhage in a case of spinal epidural arteriovenous fistula

Takumi Kajitani; Toshiki Endo; Tomoo Inoue; Kenichi Sato; Yasushi Matsumoto; Teiji Tominaga

doi:10.3171/2018.3.SPINE171343

Lumbar tap-induced subarachnoid hemorrhage in a case of spinal epidural arteriovenous fistula

Takumi Kajitani, Toshiki Endo, Tomoo Inoue, Kenichi Sato, Yasushi Matsumoto, Teiji Tominaga

MED - Medical Sciences

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

The authors report the case of a 70-year-old woman with lumbar spinal epidural arteriovenous fistula (SEDAVF) who experienced subarachnoid hemorrhage (SAH) after a diagnostic lumbar puncture. According to the literature, perimedullary spinal vein enlargement is a hallmark of spinal vascular diseases; however, there are certain cases in which routine sagittal MRI fails to disclose signal flow voids. In such cases, patients may undergo a lumbar tap to investigate the possible causes of spinal inflammatory or demyelinating disease. Recognizing this phenomenon is essential because lumbar puncture of the epidural venous pouch or an enlarged intradural vein in SEDAVF may induce severe SAH. A high clinical index of suspicion can prevent similar cases in lumbar SEDAVF.

Original language	English
Pages (from-to)	535-540
Number of pages	6
Journal	Journal of Neurosurgery: Spine
Volume	29
Issue number	5
DOIs	https://doi.org/10.3171/2018.3.SPINE171343
Publication status	Published - 2018 Nov

Keywords

Lumbar tap
Spinal epidural AVF
Subarachnoid hemorrhage
Vascular disorders

ASJC Scopus subject areas

Surgery
Neurology
Clinical Neurology

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10.3171/2018.3.SPINE171343

Cite this

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abstract = "The authors report the case of a 70-year-old woman with lumbar spinal epidural arteriovenous fistula (SEDAVF) who experienced subarachnoid hemorrhage (SAH) after a diagnostic lumbar puncture. According to the literature, perimedullary spinal vein enlargement is a hallmark of spinal vascular diseases; however, there are certain cases in which routine sagittal MRI fails to disclose signal flow voids. In such cases, patients may undergo a lumbar tap to investigate the possible causes of spinal inflammatory or demyelinating disease. Recognizing this phenomenon is essential because lumbar puncture of the epidural venous pouch or an enlarged intradural vein in SEDAVF may induce severe SAH. A high clinical index of suspicion can prevent similar cases in lumbar SEDAVF.",

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AU - Kajitani, Takumi

AU - Endo, Toshiki

AU - Inoue, Tomoo

AU - Sato, Kenichi

AU - Matsumoto, Yasushi

AU - Tominaga, Teiji

PY - 2018/11

Y1 - 2018/11

N2 - The authors report the case of a 70-year-old woman with lumbar spinal epidural arteriovenous fistula (SEDAVF) who experienced subarachnoid hemorrhage (SAH) after a diagnostic lumbar puncture. According to the literature, perimedullary spinal vein enlargement is a hallmark of spinal vascular diseases; however, there are certain cases in which routine sagittal MRI fails to disclose signal flow voids. In such cases, patients may undergo a lumbar tap to investigate the possible causes of spinal inflammatory or demyelinating disease. Recognizing this phenomenon is essential because lumbar puncture of the epidural venous pouch or an enlarged intradural vein in SEDAVF may induce severe SAH. A high clinical index of suspicion can prevent similar cases in lumbar SEDAVF.

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Lumbar tap-induced subarachnoid hemorrhage in a case of spinal epidural arteriovenous fistula

Abstract

Keywords

ASJC Scopus subject areas

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