Spinal Epidural Hematoma after Lumbar Puncture in Liver Disease
Authors: ANTHONY G. LAGLIA
Journal: Annals of Internal Medicine (1978)

Brief Reports1 April 1978Spinal Epidural Hematoma after Lumbar Puncture in Liver DiseaseANTHONY G. LAGLIA, M.D., RONALD L. EISENBERG, M.D., PHILIP R. WEINSTEIN, M.D., RICHARD L. MANI, M.D.ANTHONY G. LAGLIA, M.D., RONALD L. EISENBERG, M.D., PHILIP R. WEINSTEIN, M.D., RICHARD L. MANI, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-88-4-515 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSpinal epidural hematoma after lumbar puncture has been reported in patients receiving anticoagulant therapy. We describe a lumbar puncture-induced spinal epidural hematoma in a patient who had abnormal clotting variables associated with severe hepatic disease.A 57-year-old man with biopsy-proven Laennec's cirrhosis was admitted in a lethargic and unresponsive state. He was emaciated and icteric. There were "spider" angiomata on his upper thorax; there was no evidence of trauma. Vital signs were normal. There was mild nuchal rigidity. He moved all extremities in response to pain. Verbal commands did not elicit any response. Tendon reflexes were symmetrical. There were no...References1. PEAR B: Spinal epidural hematoma. Am J Roentgenol 115:155-164, 1972 CrossrefGoogle Scholar2. DEANGELIS J: Hazards of subdural and epidural anesthesia during anticoagulant therapy: a case report and review. Anesth Analg 51:676-679, 1972 MedlineGoogle Scholar3. SENELICKNORWOODCOHEN RCG: "Painless" spinal epidural hematoma during anticoagulant therapy. Neurology 26:213-215, 1976 CrossrefMedlineGoogle Scholar4. GROLLMUSHOFF JJ: Spontaneous spinal epidural hematoma. Good results after early therapy. J Neurol Neurosurg Psychiatry 38:98-99, 1975 CrossrefGoogle Scholar5. EDELSONCHERNIKPOSNER RNJ: Spinal epidural hematomas complicating lumbar puncture. Occurrence in thrombocytopenic patients. Arch Neurol 31:134-137, 1974 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Veterans Administration Hospital University of California San Francisco, California PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySymptomatic postoperative spinal epidural hematoma after spine tumor surgery: Incidence, clinical features, and risk factorsDelayed Postoperative Spinal Epidural Hematoma after Cervical LaminoplastyNordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian Society of Anaesthesiology and Intensive Care MedicineSide Effects and Complications of Injection Procedures: Anticipation and ManagementLumbar epidural hematoma following lumbar puncture: the role of high dose LMWH and late surgery. A case reportPostoperative Spinal Epidural Hematoma: Risk Factor and Clinical OutcomeSpinal Epidural HematomaSpinal epidural hematoma complicating thrombolytic therapy with tissue plasminogen activator—a case reportRisk Factors for Spinal Epidural Hematoma After Spinal SurgeryAcute hemorrhagic complication of diagnostic lumbar punctureSpinal epidural haematoma complicating diagnostic lumbar punctureSafety of invasive procedures in patients with the coagulopathy of liver diseaseNeurologic Manifestations of Hepatic DiseaseCerebrospinal fluid content of diazepam binding inhibitor in chronic hepatic encephalopathySpinal epidural hematomasThe Spinal Tap: A New Look at an Old TestKEITH I. MARTON, M.D., ALISA D. GEAN, M.D.Cerebral Spinal FluidMielopatia induzida por medicação anticoagulante: relato de um caso com hematoma epidural espinhalComplications of lumbar puncture followed by anticoagulation.Subdural hematoma of the spinal cord and widespread subarachnoid hemorrhage complicating anticoagulant therapy.SPINAL CORD DAMAGE: A RARE COMPLICATION OF PURULENT MENINGITISThe Unresponsive Patient: Diagnosis and Early ManagementEpidural Hematoma from Lumbar PunctureSANFORD E. WARREN 1 April 1978Volume 88, Issue 4Page: 515-516KeywordsAnticoagulant therapyCirrhosisLiver diseasesLumbar punctureReflexesTendonsThoraxVital signs Issue Published: 1 April 1978 PDF downloadLoading ...