Transient paraplegia from hematoma after lumbar puncture. A consequence of anticoagulant therapy

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Abstract
Lumbar puncture may cause intraspinal bleeding in a patient with a clotting defect (leukemia, hemophilia, thrombocytopenia) or receiving anticoagulant therapy. Such bleeding may result in paraplegia. Needle aspiration of the clot or laminectomy may or may not be beneficial. If a patient who is to receive anticoagulant drugs requires a lumbar puncture, the tap should be done before anticoagulants are given.

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