• Neurologist · Oct 2015

    Case Reports

    Delayed Intraparenchymal Hematoma Following Diagnostic Lumbar Puncture.

    • Gennaro Lapadula, Federico Caporlingua, Alessandro Caporlingua, Antonio Currà, Francesco Fattapposta, and Paolo Missori.
    • 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.
    • Neurologist. 2015 Oct 1; 20 (4): 70-3.

    AbstractLumbar 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.

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