Spinal Subarachnoid Hematoma

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Abstract
HEMORRHAGE into the spinal canal can be a complication of lumbar puncture,1 especially when coagulopathy is present. The spinal subdural and epidural spaces are well-recognized sites of possible hematomas that result in compressive myelora-diculopathy.2 3 4 We describe two patients in whom paraplegia due to subarachnoid hematoma developed after lumbar puncture and anticoagulation. A review of cases treated at the New York Hospital indicates that paraplegia and back pain after puncture may be a serious hazard after anticoagulation.Case ReportsCase 1An 81-year-old man awoke with symptoms and signs of an ischemic stroke of the right lateral medulla. A coagulation profile . . .