Acute spinal subdural hematoma following lumbar puncture in a pediatric leukemia patient
Acute spinal subdural hematoma (ASSDH) is a rare complication following intrathecal chemotherapy; however, it has the potential to cause significant morbidity. We present the case of a child treated with intrathecal chemotherapy for acute myeloid leukemia. The child presented with pain and acute par...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
|
| Series: | Journal of Current Research in Scientific Medicine |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jcrsm.jcrsm_69_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Acute spinal subdural hematoma (ASSDH) is a rare complication following intrathecal chemotherapy; however, it has the potential to cause significant morbidity. We present the case of a child treated with intrathecal chemotherapy for acute myeloid leukemia. The child presented with pain and acute paralysis in the lower limbs a few hours after lumbar puncture. Radiological findings confirmed the presence of ASSDH. The child was operated on after correcting severe thrombocytopenia. Postoperatively, the patient experienced relief from pain; however, there was no noticeable improvement in motor deficit immediately, and postoperative imaging confirmed total evacuation of the hematoma, and intensive rehabilitation was prescribed. ASSDH is a rare complication of lumbar puncture that physicians should consider, especially in leukemic patients, after correcting all hemostasis parameters; diagnosis is based on clinical presentation and radiological findings, and management requires neurosurgical intervention. |
|---|---|
| ISSN: | 2542-6273 2455-3069 |