Lumbar tap–induced subarachnoid hemorrhage in a case of spinal epidural arteriovenous fistula-Reference-Cited by-同舟云学术

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

Published:2018-11 Issue:5 Volume:29 Page:535-540
ISSN:1547-5654
Container-title:Journal of Neurosurgery: Spine
language:
Short-container-title:

Author:

Kajitani Takumi¹,Endo Toshiki¹²,Inoue Tomoo¹,Sato Kenichi³,Matsumoto Yasushi³,Tominaga Teiji¹

Affiliation:

1. Department of Neurosurgery, Tohoku University, Graduate School of Medicine, Sendai, Miyagi; and

2. Departments of Neurosurgery and

3. Neuroendovascular Therapy, Kohnan Hospital, Sendai, Miyagi, Japan

Abstract

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.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

General Medicine

Link

https://thejns.org/downloadpdf/journals/j-neurosurg-spine/29/5/article-p535.xml

Reference76 articles.

1. Spinal dural arteriovenous fistula presenting with paraplegia following lumbar puncture;Koerts;J Neurosurg Spine,2013

2. Paravertebral arteriovenous malformations with epidural drainage: clinical spectrum, imaging features, and results of treatment;Goyal;AJNR Am J Neuroradiol,1999

3. Comparative analysis of spinal extradural arteriovenous fistulas with or without intradural venous drainage: a systematic literature review;Takai;Neurosurg Focus,2012

4. Association between lumbar epidural injection and development of acute paraparesis in patients with spinal dural arteriovenous fistulas;Hetts;AJNR Am J Neuroradiol,2007

5. Exclusively epidural arteriovenous fistula in the cervical spine with spinal cord symptoms: case report;Asai;Neurosurgery,2001

Cited by 2 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Spinal epidural arteriovenous fistula with intradural venous reflux: The possibility of acquired origin caused by spinal stenosis and/or disc herniation;Clinical Neurology and Neurosurgery;2021-08

2. Intramedullary Hemorrhage Caused by Lumbosacral Epidural Arteriovenous Fistula with Dual Retrograde Perimedullary Venous Draining Routes: A Case Report and Review of the Literature;World Neurosurgery;2020-11