We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Acute Subdural Hematoma After Subdural Punctures

Am J Dis Child. 1982;136(4):371-372. doi:10.1001/archpedi.1982.03970400089027.
Text Size: A A A
Published online


The subdural puncture is a simple procedure in which either a short 20-gauge spinal needle or preferably a blunt subdural needle is introduced into the subdural space at the lateral border of the anterior fontanel. The procedure is used for diagnostic and therapeutic purposes.

Complications are unusual. Matson1 mentioned the possibility of a fistula if repeated taps were performed in the same location. Gutin et al2 reported a cerebral convexity epidermoid tumor that occurred at the site of previous subdural taps. They thought that the tumor was the result of epidermis being carried on the needle and implanted at the time of the initial puncture. Other conceivable problems are meningitis or subdural empyema occurring after taps are done without proper attention to aseptic technique and seizures caused by penetration of the needle into the brain.3

We report a case in which an acute subdural hematoma, occurring after


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.