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Cerebral herniation after lumbar puncture in sarcoid meningitis
Journal article   Peer reviewed

Cerebral herniation after lumbar puncture in sarcoid meningitis

Thomas F Scott
Clinical neurology and neurosurgery, v 102(1)
2000
PMID: 10717399

Abstract

Cerebral herniation Hydrocephalus Lumbar puncture Sarcoidosis
A patient with chronic meningitis due to neurosarcoidosis became comatose within minutes of a lumbar puncture and died 24 h later. The diagnosis of neurosarcoidosis was made post mortem. Development of cerebral herniation may have been exacerbated by lumbar puncture. It was proposed that arachnoid villi dysfunction may have contributed to very high intracranial pressures in this patient, since post mortem examination revealed communication between the ventricles and outlet foramina of the fourth ventricle, and that herniation was in part due to an acute pressure differential caused by lumbar puncture.

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Web of Science research areas
Clinical Neurology
Surgery
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