ANTHONY G. LAGLIA, M.D.; RONALD L. EISENBERG, M.D.; PHILIP R. WEINSTEIN, M.D.; RICHARD L. MANI, M.D.
Spinal epidural hematoma after lumbar puncture has been reported in patients receiving anticoagulant therapy. We describe a lumbar puncture-induced spinal epidural hematoma in a patient who had abnormal clotting variables associated with severe hepatic disease.
A 57-year-old man with biopsy-proven Laennec's cirrhosis was admitted in a lethargic and unresponsive state. He was emaciated and icteric. There were "spider" angiomata on his upper thorax; there was no evidence of trauma. Vital signs were normal. There was mild nuchal rigidity. He moved all extremities in response to pain. Verbal commands did not elicit any response. Tendon reflexes were symmetrical. There were no
LAGLIA AG, EISENBERG RL, WEINSTEIN PR, MANI RL. Spinal Epidural Hematoma after Lumbar Puncture in Liver Disease. Ann Intern Med. 1978;88:515–516. doi: 10.7326/0003-4819-88-4-515
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Published: Ann Intern Med. 1978;88(4):515-516.
Gastroenterology/Hepatology, Liver Disease, Neurology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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