Ben-Nakhi A, Muttikkal T J E, Ashebu S D, Keluth Chavan V N
Department of Radiology; Mubarak Al Kabeer Hospital; Kuwait -
Neuroradiol J. 2008 Apr 7;21(2):178-82. doi: 10.1177/197140090802100204.
Intracranial subdural hemorrhage is a rare complication of lumbar puncture. Caudal traction and tear of the subdural veins due to negative pressure caused by leakage of cerebrospinal fluid (CSF) following lumbar puncture (LP) is the mechanism. Prolonged headache or neurological symptoms following LP should warrant cross-sectional imaging to rule out subdural hemorrhage as it can be fatal. We report a case of subdural hemorrhage following LP in a patient with suspected meningitis and communicating hydrocephalus.
颅内硬膜下出血是腰椎穿刺的一种罕见并发症。机制是腰椎穿刺（LP）后脑脊液（CSF）漏导致的负压引起硬膜下静脉的尾端牵引和撕裂。LP后出现的持续性头痛或神经症状应进行横断面成像以排除硬膜下出血，因为它可能是致命的。我们报告一例疑似脑膜炎和交通性脑积水患者在LP后发生硬膜下出血的病例。
