Dean W M, Woodside J R
Urology. 1979 May;13(5):575-7. doi: 10.1016/0090-4295(79)90480-1.
Epidural and subdural spinal hematomas are unusual complications of diagnostic lumbar punctures. A renal allograft recipient on anticoagulant therapy underwent lumbar puncture. Urinary retention and evidence of an S2, S3, and S4 neurologic deficit developed subsequently. A myelogram showed a defect of the posterior lumbosacral spinal canal. Urodynamic investigation demonstrated normal sympathetic innervation of the proximal urethra and impaired parasympathetic and pudendal innervation of the detrusor and external urethral sphincter, respectively.
硬膜外和硬膜下脊髓血肿是诊断性腰椎穿刺的罕见并发症。一名接受抗凝治疗的肾移植受者接受了腰椎穿刺。随后出现了尿潴留以及S2、S3和S4神经功能缺损的证据。脊髓造影显示腰骶部椎管后部有缺损。尿动力学检查表明，近端尿道的交感神经支配正常，而逼尿肌和尿道外括约肌的副交感神经和阴部神经支配分别受损。
