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Acute Subdural Hematoma Following Spinal Cerebrospinal Fluid Drainage in a Patient with Freezing of Gait
Authors:Han-Joon Kim   Yong-Jin Cho   Joong-Yang Cho   Dong-Ha Lee     Keun-Sik Hong
Affiliation:aDepartment of Neurology and Movement Disorder Center, CRC, Seoul National University Hospital, Seoul, Korea.;bDepartment of Neurology and Clinical Research Center, Inje University Ilsan Paik Hospital, Goyang, Korea.
Abstract:

Background

Headache is a common complication of lumbar puncture (LP). Although in most cases post-LP headaches are not severe and have a benign course, they can also be a manifestation of a potentially life-threatening complication such as subdural hematoma (SDH).

Case Report

We describe a patient in whom a massive SDH developed after LP and cerebrospinal fluid (CSF) drainage, which were performed during the diagnostic evaluation of freezing of gait.

Conclusions

SDH should not be excluded from the differential diagnosis of headache following LP, especially when there is a loss of CSF.
Keywords:freezing of gait   subdural hematoma   lumbar puncture   cerebrospinal fluid drainage   headache
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