Lumbar tap-induced subarachnoid hemorrhage in a case of spinal epidural arteriovenous fistula

被引：3

作者：

Kajitani, Takumi ^{[1
]}

Endo, Toshiki ^{[1
,2
]}

Inoue, Tomoo ^{[1
]}

Sato, Kenichi ^{[3
]}

Matsumoto, Yasushi ^{[3
]}

Tominaga, Teiji ^{[1
]}

机构：

[1] Tohoku Univ, Grad Sch Med, Dept Neurosurg, Sendai, Miyagi, Japan

[2] Kohnan Hosp, Dept Neurosurg, Sendai, Miyagi, Japan

[3] Kohnan Hosp, Dept Neuroendovasc Therapy, Sendai, Miyagi, Japan

来源：

JOURNAL OF NEUROSURGERY-SPINE | 2018年 / 29卷 / 05期

关键词：

lumbar tap; subarachnoid hemorrhage; spinal epidural AVF; vascular disorders; PERIMEDULLARY VENOUS DRAINAGE; CLINICAL CHARACTERISTICS; MYELOPATHY; PUNCTURE; COMPLICATIONS; MALFORMATIONS; PARAPLEGIA; ARTERIAL; FEATURES; REFLUX;

D O I：

10.3171/2018.3.SPINE171343

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The authors report the case of a 70-year-old woman with lumbar spinal epidural arteriovenous fistula (SEDAVF) who experienced subarachnoid hemorrhage (SAH) after a diagnostic lumbar puncture. According to the literature, perimedullary spinal vein enlargement is a hallmark of spinal vascular diseases; however, there are certain cases in which routine sagittal MRI fails to disclose signal flow voids. In such cases, patients may undergo a lumbar tap to investigate the possible causes of spinal inflammatory or demyelinating disease. Recognizing this phenomenon is essential because lumbar puncture of the epidural venous pouch or an enlarged intradural vein in SEDAVF may induce severe SAH. A high clinical index of suspicion can prevent similar cases in lumbar SEDAVF.

引用

页码：535 / 540

页数：6

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