J Korean Acad Rehabil Med.  2002 Feb;26(1):104-107.

Paraplegia Due to Spinal Hematoma in a Patient with Acute Lymphocytic Leukemia: A case report

Affiliations
  • 1Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea. JLMOON@cmc.cuk.ac.kr
  • 2Department of Pediatrics, College of Medicine, The Catholic University of Korea, Korea.

Abstract

Intrathecal administration of methotrexate is one of the standard therapies in the acute lymphocytic leukemia (ALL). Spinal puncture and tapping for intrathecal administration of methotrexate is considered as a routine procedure but this procedure carries risks of spinal hematoma in ALL patients. Spinal hematoma after spinal puncture is an uncommon condition, but it can occur more often in patients with thrombocytopenic or coagulation disorder. We report 4 year-4 month-old boy of ALL with spinal hematoma leading to paraplegia following lumbar puncture for intrathecal methotrexate treatment.

Keyword

Spinal hematoma; Paraplegia; Lumbar puncture; Acute lymphocytic leukemia

MeSH Terms

Hematoma*
Humans
Male
Methotrexate
Paraplegia*
Precursor Cell Lymphoblastic Leukemia-Lymphoma*
Spinal Puncture
Methotrexate
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