| Life-threatening intracranial hypotension after diagnostic lumbar puncture. | |
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MedLine Citation:
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PMID: 11917976 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Intracranial hypotension syndrome as a complication of diagnostic lumbar puncture is a rarely observed entity. Intracranial hypotension syndrome is characterized by postural headache, neck pain/stiffness, blurred vision, nausea, vomiting, clouding of consciousness, dizziness and vertigo. The majority of cases resolve spontaneously with conservative treatment. Rarely, epidural blood patch is required. We report a 41-year-old man with multiple sclerosis, who developed intracranial hypotension syndrome after diagnostic lumbar puncture and who did not respond to conservative treatment. A subdural hematoma was subsequently found, when the patient showed considerable worsening of clinical conditions with life-threatening symptoms. Surgical evacuation of the subdural hematoma was not sufficient to improve significantly the patient's conditions, while complete symptoms remission was achieved 12 hours after epidural blood patch. We stress the need for epidural blood patch in any case of post-diagnostic lumbar puncture postural headache which does not resolve with conservative therapy. |
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Authors:
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A Francia; P Parisi; A M Vitale; V Esposito |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology Volume: 22 ISSN: 1590-1874 ISO Abbreviation: Neurol. Sci. Publication Date: 2001 Oct |
Date Detail:
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Created Date: 2002-03-28 Completed Date: 2002-04-25 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100959175 Medline TA: Neurol Sci Country: Italy |
Other Details:
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Languages: eng Pagination: 385-9 Citation Subset: IM |
Affiliation:
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Third Clinic of Neurology, Department of Neurological Sciences, La Sapienza University, Rome, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blood Patch, Epidural Brain / pathology, physiopathology Encephalocele / etiology, pathology, physiopathology Headache / pathology, physiopathology Hematoma, Subdural / etiology*, pathology, physiopathology* Humans Intracranial Hypotension / etiology*, pathology, physiopathology* Magnetic Resonance Imaging Male Multiple Sclerosis / diagnosis, physiopathology Postoperative Complications / etiology*, pathology, physiopathology* Spinal Puncture / adverse effects* Subarachnoid Space / pathology, physiopathology Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Neurol Sci. 2001 Oct;22(5):411-2;DISCUSSION 412.
[PMID:
11917983
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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