Abstract

SPINAL subarachnoid hematoma after lumbar puncture has been reported to occur in the presence of preexisting coagulopathy or anticoagulant therapy. 1-4 Although occult spinal subarachnoid hematoma may be possible, symptom onset generally is acute and dramatic, and it also represents serious complications for hemostatically compromised patients.5"7 We report a patient who developed spinal subarachnoid hematoma after lumbar puncture. However, she had normal blood coagulation profiles and no spinal disorders such as spinal stenosis or spinal fractures. The onset of her symptoms was gradual, and neurologic deterioration was mild. To our knowledge, this is the first report about spinal subarachnoid hematoma with mild and vague symptoms in a hemostatically normal patient.

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