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Neurol India. 2002 Sep;50(3):367-9.

Post lumbar puncture spinal subarachnoid hematoma causing paraplegia: a short report.

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Department of Neurosurgery, M.S. Ramaiah Medical College, Bangalore - 560054, India.


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.

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