Lumbar tap-induced subarachnoid hemorrhage in a case of spinal epidural arteriovenous fistula.
J Neurosurg Spine
; 29(5): 535-540, 2018 Nov 01.
Article
en En
| MEDLINE
| ID: mdl-30095382
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.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Canal Medular
/
Hemorragia Subaracnoidea
/
Fístula Arteriovenosa
/
Embolización Terapéutica
Tipo de estudio:
Diagnostic_studies
Idioma:
En
Revista:
J Neurosurg Spine
Asunto de la revista:
NEUROCIRURGIA
Año:
2018
Tipo del documento:
Article