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

研究成果: Article査読

1 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)535-540
ページ数6
ジャーナルJournal of Neurosurgery: Spine
29
5
DOI
出版ステータスPublished - 2018 11

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

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