{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T12:36:21Z","timestamp":1755693381837},"reference-count":13,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>This case report is the first documented and illustrated case of the identification and treatment of intracranial vasospasm as a sequalae of traumatic lumbar puncture (LP). LP is a routine procedure performed for both diagnostic and therapeutic purposes. Although rare, this procedure has risks and complications that should be considered before performing.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 58-year-old male was found to have intracranial subarachnoid hemorrhage (SAH) 2 days after a traumatic LP which occurred in the setting of subtherapeutic international normalized ratio. During his hospitalization, the patient developed both clinical and radiographic signs of vasospasm. He was taken for angiography, which demonstrated significant vasospasm of bilateral middle cerebral arteries and bilateral anterior cerebral arteries. All vasospasms resolved and the patient improved clinically after intra-arterial spasmolytic therapy.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>LP is a routine procedure with complications that are often overlooked. The authors describe intracranial vasospasm from traumatic LP before correction of patient\u2019s coagulopathy. Cases with similar hemorrhage occurring in the spine resulting in non-aneurysmal SAH and vasospasm were reviewed.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_181_2022","type":"journal-article","created":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T07:31:35Z","timestamp":1649403095000},"page":"128","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Report of cerebral vasospasm as a complication of intracranial subarachnoid hemorrhage following traumatic lumbar puncture"],"prefix":"10.25259","volume":"13","author":[{"given":"Mohammad Arsal","family":"Arshad","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louis Samuel","family":"Reier","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James B.","family":"Fowler","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamid","family":"Hadi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, MacNeal Hospital Loyola University, Berwyn, IL,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Usman","family":"Beg","sequence":"additional","affiliation":[{"name":"Arizona College of Osteopathic Medicine, Midwestern University, Glendale, AZ,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Fiani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Weil Cornell Medicine, New York, NY, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,4,8]]},"reference":[{"key":"10.25259\/SNI_181_2022\/ref-1","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/00006565-200106000-00008","article-title":"Acute hemorrhagic complication of diagnostic lumbar puncture","volume":"17","author":"Adler","year":"2001","journal-title":"Pediatr Emerg Care"},{"key":"10.25259\/SNI_181_2022\/ref-2","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1212\/01.wnl.0000173034.96211.1b","article-title":"Addendum to assessment: Prevention of post-lumbar puncture headaches: Report of the therapeutics and technology assessment subcommittee of the American Academy of Neurology","volume":"65","author":"Armon","year":"2005","journal-title":"Neurology"},{"key":"10.25259\/SNI_181_2022\/ref-3","doi-asserted-by":"crossref","first-page":"2168","DOI":"10.1002\/1097-0142(19820515)49:10<2168::AID-CNCR2820491031>3.0.CO;2-O","article-title":"Radicular vessels are the most probable source of needle-induced blood in lumbar puncture: Significance for the thrombocytopenic cancer patient","volume":"49","author":"Breuer","year":"1982","journal-title":"Cancer"},{"key":"10.25259\/SNI_181_2022\/ref-4","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1111\/j.1469-7580.2006.00686.x","article-title":"Which spinal levels are identified by palpation of the iliac crests and the posterior superior iliac spines?","volume":"210","author":"Chakraverty","year":"2007","journal-title":"J Anat"},{"key":"10.25259\/SNI_181_2022\/ref-5","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1080\/09647049709525699","article-title":"The first lumbar puncture","volume":"6","author":"Frederiks","year":"1997","journal-title":"J Hist Neurosci"},{"key":"10.25259\/SNI_181_2022\/ref-6","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/j.1365-2044.1988.tb05546.x","article-title":"Spinal haematoma following epidural analgesia. Report of a patient with ankylosing spondylitis and a bleeding diathesis","volume":"43","author":"Gustafsson","year":"1988","journal-title":"Anaesthesia"},{"key":"10.25259\/SNI_181_2022\/ref-7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10143-002-0224-y","article-title":"Spinal hematoma: A literature survey with meta-analysis of 613 patients","volume":"26","author":"Kreppel","year":"2003","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_181_2022\/ref-8","doi-asserted-by":"crossref","first-page":"527","DOI":"10.3340\/jkns.2014.56.6.527","article-title":"Intracranial extension of spinal subarachnoid hematoma causing severe cerebral vasospasm","volume":"56","author":"Nam","year":"2014","journal-title":"J Korean Neurosurg Soc"},{"key":"10.25259\/SNI_181_2022\/ref-9","doi-asserted-by":"crossref","first-page":"366","DOI":"10.5607\/en.2015.24.4.366","article-title":"Intracranial Vasospasm without Intracranial Hemorrhage due to Acute Spontaneous Spinal Subdural Hematoma","volume":"24","author":"Oh","year":"2015","journal-title":"Exp Neurobiol"},{"key":"10.25259\/SNI_181_2022\/ref-10","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s10072-009-0163-2","article-title":"Thoracic extradural haematoma after epidural anaesthesia","volume":"31","author":"Perrini","year":"2010","journal-title":"Neurol Sci"},{"key":"10.25259\/SNI_181_2022\/ref-11","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s10140-003-0286-3","article-title":"Optimal patient position for lumbar puncture, measured by ultrasonography","volume":"10","author":"Sandoval","year":"2004","journal-title":"Emerg Radiol"},{"key":"10.25259\/SNI_181_2022\/ref-12","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.12659\/AJCR.910912","article-title":"Central nervous system bleeding after a lumbar puncture: Still an ongoing complication","volume":"19","author":"Sawaya","year":"2018","journal-title":"Am J Case Rep"},{"key":"10.25259\/SNI_181_2022\/ref-13","doi-asserted-by":"crossref","first-page":"934143","DOI":"10.1155\/2013\/934143","article-title":"Cerebral vasospasm with ischemia following a spontaneous spinal subarachnoid hemorrhage","volume":"2013","author":"Shakur","year":"2013","journal-title":"Case Rep Med"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/report-of-cerebral-vasospasm-as-a-complication-of-intracranial-subarachnoid-hemorrhage-following-traumatic-lumbar-puncture\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/report-of-cerebral-vasospasm-as-a-complication-of-intracranial-subarachnoid-hemorrhage-following-traumatic-lumbar-puncture\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T07:31:48Z","timestamp":1649403108000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/report-of-cerebral-vasospasm-as-a-complication-of-intracranial-subarachnoid-hemorrhage-following-traumatic-lumbar-puncture\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,8]]},"references-count":13,"alternative-id":["10.25259\/SNI_181_2022"],"URL":"https:\/\/doi.org\/10.25259\/sni_181_2022","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,8]]},"article-number":"128"}}