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Lumbar puncture in patients using anticoagulants …

679 DOI: VIEW AND REVIEWL umbar puncture in patients using anticoagulants and antiplatelet agentsPun o lombar em pacientes usando anticoagulantes e agentes antiplaquet riosRenan Domingues1, Gustavo Bruniera1, 2, Fernando Brunale1, 2, Crist v o Mangueira2, Carlos Senne1,2 Lumbar puncture (LP) is the most used technique for ob-taining cerebrospinal fluid (CSF). CSF analysis is crucial in the diagnosis of a variety of infectious and noninfectious neu-rologic conditions1. LP is a relatively safe procedure, but com-plications such as post-LP headache, infection, and bleeding may occur. Minor bleeding is characterized by the presence of red blood cells in the CSF. Spinal hematoma is a rare com-plication but its risk increases in patients with any bleeding predisposing condition. Spinal hematoma presents with back pain and neurologic findings such as weakness, reduced sen-sation, and incontinence2.

679 OI: 1.1/-22X21 E D REE Lumbar puncture in patients using anticoagulants and antiplatelet agents Punção lombar em pacientes usando anticoagulantes e …

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