Revisão Revisado por pares

COMPLICATIONS OF LUMBAR PUNCTURE

1998; Elsevier BV; Volume: 16; Issue: 1 Linguagem: Inglês

10.1016/s0733-8619(05)70368-6

ISSN

1557-9875

Autores

Randolph W. Evans,

Tópico(s)

Spine and Intervertebral Disc Pathology

Resumo

Although neurologists often evaluate the surgical complications of other physicians, they are responsible for complications of the lumbar puncture, the quintessential neurologic procedure. Headache is the most common complication, usually lasting 1 week or less, occurring in up to 40 % of patients after lumbar puncture. Other complications, including headaches lasting from 8 days to 1 year, cranial neuropathies, prolonged backache, nerve root injury, and meningitis, are rare, following perhaps 0.3 % of lumbar punctures.136 The prospect of a lumbar puncture, however, seems to cause an inordinate amount of fear and anxiety in patients. This article reviews historical aspects and the following complications of lumbar puncture: cerebral and spinal herniation, post–dural puncture headache, cranial neuropathies, nerve root irritation, low back pain, stylet-associated problems, infectious complications, and bleeding complications (Table 1).

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