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Mary Norine Walsh, MD; Gregory G. Fischer, MD; David Anderson, MD; Angeline Mastri, MD

Arch Neurol. 1984;41(9):987-989.

Abstract
• Lumbar puncture (LP) is sometimes performed in addition to computed tomography (CT) to exclude hemorrhage prior to anticoagulation for suspected cerebral ischemia. The LP may be complicated by spinal hemorrhage during subsequent anticoagulation. We report such a case with an eventually fatal outcome due to intracranial extension of blood. On balance, the use of LP in addition to CT in this setting appears to be unwise.

Author Affiliations
From the Department of Neurology, Hennepin County Medical Center and the University of Minnesota Medical School, Minneapolis. Dr Walsh is now with the Parkland Memorial Hospital, Dallas; Dr Fischer is now with the Skemp-Grandview Clinic, La Crosse, Wis.

Footnotes
Accepted for publication Sept 25, 1983.

Reprint requests to Department of Neurology, Hennepin County Medical Center, 701 Park Ave S, Minneapolis, MN 55455 (Dr Anderson).

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