Türk Nöroşirürji Dergisi 2007 , Vol 17 , Num 3
Acute Paraplegia Secondary to Acute Spinal Intradural Haematoma Developing after Lumbar Puncture in a Patient Treated with Anticoagulant Therapy for Superior Sagittal Sinus Thrombosis: A Case Report
Adem YILMAZ1, Halit ÇAVUŞOĞLU2, Okan KAHYAOĞLU3, Ramazan Alper KAYA4, Ahmet Murat MÜSLÜMAN5, Cengiz TUNCER6, Yunus AYDIN7, Figen YILMAZ8
1,2,3,4,5,6,7Şişli Etfal Eğitim ve Araştırma Hastanesi, Nöroşirürji, İstanbul
8Şişli Etfal Eğitim ve Araştırma Hastanesi, Fizik Tedavi ve Rehabilitasyon, İstanbul
In the study, we present a case of acute paraplegia secondary to acute spinal intradural haematoma developing after lumbar puncture in a patient treated with anticoagulant therapy for superior sagittal sinüs thrombosis. Direct vascular trauma occuring during lumbar puncture performed for patient with haemorragic diathesis increcases of spinal intradural bleeding and the risk of related neurological deficits. Spinal intradural haematomas are rare entities which cause spinal cord compression. Generally, intradural haematomas occur in patients with hemorrhagic disorders or spinal vascular malformation who undergo spinal anesthesia, diagnostic lumbar punctures or spontaneously. Different degrees of subarachnoid haematoma, subdural haematoma, subarachnoid and subdural haematomas, or epidural haematoma may occur after lumbar puncture in the patients who are taking anticoagulant therapy. Traumatic lumbar puncture always increases the risk of spinal haematoma. Anahtar Kelimeler : Anticoagulant therapy, Lumbar puncture, Sagittal sinus trombosis, Spinal haematoma