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Scientific paper - Case study
Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report
Acta clinica Croatica, 61 (2022), 1; 149-151. https://doi.org/10.20471/acc.2022.61.01.19
Paun, Tomislav; Zavoreo, Iris; Jurašić, Miljenka-Jelena; Jadrijević Tomas, Ana; Bašić Kes, Vanja

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Paun, T., Zavoreo, I., Jurašić, M. J., Jadrijević Tomas, A. & Bašić Kes, V. (2022). Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report. Acta clinica Croatica, 61. (1), 149-151. doi: 10.20471/acc.2022.61.01.19

Paun, Tomislav, et al. "Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report." Acta clinica Croatica, vol. 61, no. 1, 2022, pp. 149-151. https://doi.org/10.20471/acc.2022.61.01.19

Paun, Tomislav, Iris Zavoreo, Miljenka Jelena Jurašić, Ana Jadrijević Tomas and Vanja Bašić Kes. "Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report." Acta clinica Croatica 61, no. 1 (2022): 149-151. https://doi.org/10.20471/acc.2022.61.01.19

Paun, T., et al. (2022) 'Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report', Acta clinica Croatica, 61(1), pp. 149-151. doi: 10.20471/acc.2022.61.01.19

Paun T, Zavoreo I, Jurašić MJ, Jadrijević Tomas A, Bašić Kes V. Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report. Acta clinica Croatica [Internet]. 2022 [cited 2024 November 26];61(1):149-151. doi: 10.20471/acc.2022.61.01.19

T. Paun, I. Zavoreo, M. J. Jurašić, A. Jadrijević Tomas and V. Bašić Kes, "Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report", Acta clinica Croatica, vol. 61, no. 1, pp. 149-151, 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:793001. [Accessed: 26 November 2024]

Metadata
Title (english)Spinal Subdural Hematoma Associated with Lumbar Puncture – a Case Report
Title (croatian)Spinalni subduralni hematom povezan s lumbalnom punkcijom - prikaz slučaja
AuthorTomislav Paun
AuthorIris Zavoreo
AuthorMiljenka-Jelena Jurašić
AuthorAna Jadrijević Tomas
AuthorVanja Bašić Kes
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Spinal subdural hematoma caused by lumbar puncture is a rare state of acute blood clot in spinal subdural space, and in some cases, it can be the cause of local compression and consecutive neurological symptoms. We present a 36-year-old female patient who was hospitalized due to persistent headache despite pharmacological therapy. Therefore, we performed lumbar puncture in order to measure intracranial pressure and evaluate cerebrospinal fluid. After lumbar puncture, the patient was complaining of pain in the lumbar region. Emergency magnetic resonance imaging (MRI) of the lumbosacral (LS) region was performed to show acute subdural hematoma of up to 7.3 mm in the dorsal part of the spinal canal at the level of L1 vertebra to the inferior endplate of L4 vertebra. Repeat LS MRI after 3 hours showed unchanged finding. The patient reported gradual regression of pain in the LS region over the next few days, therefore conservative treatment was applied. Patients with a previously known blood clotting disorder and patients on anticoagulation therapy have worse outcome as compared with patients without such disorders. During treatment, it is necessary to monitor patient clinical state and consider the need of surgical treatment.
Abstract (croatian)
Spinalni subduralni hematom uzrokovan lumbalnom punkcijom je rijetko stanje akutnog nakupljanja krvi u spinalnom subduralnom prostoru, što u nekim slučajevima može dovesti do kompresivnog učinka i razvoja neurološkog deficita. Prikazujemo bolesnicu u dobi od 36 godina koja je hospitalizirana zbog obrade glavobolja. Učinjena je lumbalna punkcija nakon koje se bolesnica žalila na bol u lumbalnoj kralježnici. Hitno je učinjena magnetska resonancija (MR) lumbalne kralježnice koja je pokazala akutni subduralni hematom od 7,3 mm u dorzalnom dijelu spinalnog kanala od trupa kralješka L1 do donje pokrovne plohe kralješka L4. Ponovljena MR lumbalne kralježnice nakon 3 sata pokazala je nepromijenjen nalaz. Bolesnica je tijekom hospitalizacije cijelo vrijeme urednog neurološkog statusa s postupnom regresijom bolova u lumbalnoj kralježnici te je provedeno konzervativno liječenje. Bolesnici s ranije poznatim poremećajima zgrušavanja krvi i bolesnici na antikoagulantnoj terapiji imaju lošiji ishod liječenja nakon godine dana u odnosu na bolesnike bez poremećaja zgrušavanja krvi. U tijeku liječenja treba pratiti kliničko stanje bolesnika te razmotriti potrebu operativnog liječenja.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 61, no. 1, pp. 149-151
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2022.61.01.19
URN:NBNurn:nbn:hr:220:793001
Publication2022
Document URLhttps://hrcak.srce.hr/280283
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-06-17 11:28:07