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J Korean Acad Rehabil Med. 2002 Feb;26(1):104-107. Korean. Original Article.
Moon JL , Kim HK , Lee KA , Yoo KB .
Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea. JLMOON@cmc.cuk.ac.kr
Department 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.

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