Post lumbar puncture spinal subarachnoid hematoma causing paraplegia: a short report
Pai, S.Balaji.; Krishna, K.N.; Chandrashekar, S.
Neurology India 50(3): 367-369
2002
ISSN/ISBN: 0028-3886 PMID: 12391473 Document Number: 551621
A 53 year old male underwent total excision of a large sphenoidal wing meningioma. Patient was treated with cephalosporins and phenytoin for postoperative meningitis. Three weeks after surgery, a follow up lumbar puncture was done. The patient became paraplegic over a few hours. Imaging of the dorsolumbar spine and other investigations demonstrated a large intraspinal hematoma caused by thrombocytopenia which was probably drug induced. After normalising the platelet count surgical evacuation of the spinal subarachnoid hematoma was done. Relevant literature is reviewed.