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Kortikale Venenthrombose nach diagnostischer Lumbalpunktion

Cortical venous thrombosis after a diagnostic lumbar puncture

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Zusammenfassung

Wir berichten über eine 49-jährige Patientin, die sich in unserer Klinik im Rahmen der erweiterten Diagnostik nach einer transient-ischämischen Attacke unklarer Ätiologie einer Lumbalpunktion unterzog. Wenige Tage später erlitt die Patientin nach Ausbildung eines schweren postpunktionellen Syndroms eine kortikale Hirnvenenthrombose mit Stauungsblutung, die letztendlich eine Hemikraniektomie notwendig machte.

Summary

We present the case of a 49-year-old female patient who underwent a lumbar puncture in the context of an extended diagnostic work-up after a transient ischemic attack. A few days later the patient who suffered from severe post-lumbar puncture headache, developed a lobar hemorrhage due to a cortical venous thrombosis requiring decompression surgery.

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Literatur

  1. Aidi S, Chanu MP, Biousse V, Bousser MG (1999) Changing pattern of headache pointing to cerebral venous thrombosis after lumbar puncture and intravenous high-dose corticosteroids. Headache 39:559–564

    Article  CAS  PubMed  Google Scholar 

  2. Albucher JF, Vuillemin-Azais C, Manelfe C et al (1999) Cerebral thrombophlebitis in three patients with probable multiple sclerosis: Role of lumbar puncture or intravenous corticosteroid treatment. Cerebrovasc Dis 9:298–303

    Article  CAS  PubMed  Google Scholar 

  3. Borum SE, Naul LG, McLeskey CH (1997) Postpartum dural venous sinus thrombosis after postdural puncture headache and epidural blood patch. Anesthesiology 86:487–490

    Article  CAS  PubMed  Google Scholar 

  4. Brugeilles H, Penisson-Besnier I, Asco A et al (1996) Cerebral venous thrombosis after myelography with iopamidol. Neuroradiology 38:534–536

    Article  CAS  PubMed  Google Scholar 

  5. Canhao P, Batista P, Falcao F (2005) Lumbar puncture and dural sinus thrombosis – a causal or casual association? Cerebrovasc Dis 19:53–56

    Article  PubMed  Google Scholar 

  6. Gunal DI, Afsar N, Tuncer N, Aktan S (2002) A case of multiple sclerosis with cerebral venous thrombosis: The role of lumbar puncture and high dose steroids. Eur Neurol 47:57–58

    Article  PubMed  Google Scholar 

  7. Hartley RW, Jackson A, Cooke RS (1992) Dural venous sinus thrombosis following myelography: Demonstration by magnetic resonance imaging. Br Radiol 65:1134–1136

    Article  CAS  Google Scholar 

  8. Hubbert CH (1987) Dural puncture headache suspected, cortical vein thrombosis diagnosed. Anesth Analg 66:285

    Article  CAS  PubMed  Google Scholar 

  9. Lavi R, Yarnitsky D, Rowe JM (2006) Standard vs atraumatic Whitacre needle for diagnostic lumbar puncture: a randomized trial. Neurology 67:1492–1494

    Article  CAS  PubMed  Google Scholar 

  10. Mouraux A, Gille M, Dorban S, Peeters A (2002) Cortical venous thrombosis after lumbar puncture. J Neurol 249:1313–1315

    Article  PubMed  Google Scholar 

  11. Ravindran RS, Zandstra GC (1989) Cerebral venous thrombosis versus postlumbar puncture headache 71:478–479

  12. Schou J, Scherb M (1986) Postoperative sagittal sinus thrombosis after spinal anesthesia. Anesth Analg 65:541–542

    Article  CAS  PubMed  Google Scholar 

  13. Städler C, Vuadens P, Dewarrat A et al (2000) Cerebral venous thrombosis after lumbar puncture and steroids in two patients with multiple sclerosis. Rev Neurol (Paris) 159:155–159

    Google Scholar 

  14. Stam J (2005) Thrombosis of the cerebral veins and sinuses. N Engl J Med 352:1791–1798

    Article  CAS  PubMed  Google Scholar 

  15. Strupp M, Schueler O, Straube A et al (2001) Atraumatic Sprotte needle reduces the incidence of post-lumbar puncture headaches. Neurology 57:2310–2312

    CAS  PubMed  Google Scholar 

  16. Vandenberghe N, Debouverie M, Anxionnat R et al (2003) Cerebral venous thrombosis in four patients with multiple sclerosis. Eur J Neurol 10:63–66

    Article  CAS  PubMed  Google Scholar 

  17. Virchow R (1856) Phlogose und Thrombose im Gefäßsystem. Gesammelte Abhandlungen zur wissenschaftlichen Medizin. Staatsdruckerei, Frankfurt

  18. Wilder-Smith E, Kothbauer-Margreiter I, Lammle B et al (1997) Dural puncture and activated protein C resistance: Risk factors for cerebral venous sinus thrombosis. J Neurol Neurosurg Psychiatry 63:351–356

    Article  CAS  PubMed  Google Scholar 

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Correspondence to W. Pfeilschifter.

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Pfeilschifter, W., Neumann-Haefelin, T., Hattingen, E. et al. Kortikale Venenthrombose nach diagnostischer Lumbalpunktion. Nervenarzt 80, 1219–1221 (2009). https://doi.org/10.1007/s00115-009-2834-x

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  • DOI: https://doi.org/10.1007/s00115-009-2834-x

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