Hemorrhagic Shock After Lumbar Puncture
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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 . We encountered a case of active bleeding from left L2 and L4 lumbar arteries after a lumbar puncture that leads to hemorrhagic shock.
Description of the Case
MB contributed to the body of the case report. Collected data and reviewed the final versions. DT contributed to the intro and discussion of the case report. Designed the figures and edited the case report.
Source of Support
There was no funding or support.
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical Approval/Informed Consent
The patient was consented and signed the University consent form allowing the clinicians to obtain and publish the medical case.