Hemorrhagic Shock After Lumbar Puncture

  
NCJ_cover.jpgBy Mariam Batakji, Danny Theodore

First Online: 22 August 2019

Lumbar puncture is a routine procedure frequently done in the intensive care unit, operating room, and medical wards for therapeutic and diagnostic purposes such as cancer, infections, and autoimmune diseases workups. It usually carries a low risk of complications. There have been tremendous efforts to prevent thromboembolic events in high-risk patients using different classes of antithrombotic drugs. Multiple societies including the American Society of Regional and Pain Medicine have developed consensus guidelines regarding safe time intervals to perform different procedures on patients that are anticoagulated [1]. We encountered a case of active bleeding from left L2 and L4 lumbar arteries after a lumbar puncture that leads to hemorrhagic shock.

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