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Extradural haematoma complicating lumbar puncture following a craniotomy. A case report
A Mohanty1, M K Vasudev, P S Chandra
1Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India.
Background:
This case report illustrates the development of an intracranial extradural haematoma (EDH) as an uncommon complication of a lumbar puncture.
Clinical Presentation:
A 10-year-old girl operated for intra-third ventricular cysticercosis developed postlumbar puncture headache after a drainage lumbar puncture (LP) on the 7th postoperative day. CT scan revealed a right frontal EDH away from the operative site.
Intervention:
The child was managed conservatively in view of her preserved sensorium.
Results:
The child had an uneventful recovery. Follow-up CT scans showed resolution of the haematoma.
Conclusions:
LP, though considered to be a safe procedure, may rarely be associated with a potentially lethal intracranial haematoma, which can be managed successfully if diagnosed at an early stage.
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