Intracranial subdural hematoma after lumbar myelography

Area of Science:

• Neurology
• Radiology
• Neurosurgery

Background:

• Lumbar puncture is a common diagnostic procedure.
• Myelography involves injecting contrast dye into the spinal canal.
• Complications, though rare, necessitate careful monitoring.

Observation:

• Two cases of intracranial subdural hematoma (CSH) were identified following lumbar myelography.
• Patients presented with prolonged headache and neurological deficits.

Findings:

• Intracranial subdural hematoma is a potential complication of lumbar myelography.
• Clinical presentation includes persistent headache and neurological signs.

Implications:

• Clinicians should maintain a high index of suspicion for CSH in patients with relevant symptoms post-procedure.
• Early diagnosis and management are crucial for favorable patient outcomes.
• Further research may elucidate the precise mechanisms and risk factors for this rare complication.