Multilevel degenerative spine disease; spondylolisthesis, spondylolysis, Motor deficit(any grade), arachnoiditis
, cauda equina syndrome, Previous lumbar spine surgery, Central spinal canal stenosis or foraminal stenosis from other origins, Myelographic contrast allergy, and local anesthetic allergy, History of psychiatric illness or history of substance abuse, Pregnancy, Poorly controlled hypertension and Poorly controlled diabetes (HbA1c>7), Morbid obesity.
In one case report, arachnoiditis
developed 10 days after a diagnostic LP (36).
That resulted in arachnoiditis
, a pain disorder caused by the inflammation of a membrane that surrounds the nerves of the spinal cord.
, paravertebral and psoas abscesses) were detected in 47 (39.8%) patients.
It is known that when a drug is used intrathecally, toxic reactions such as demyelination, necrosis, arachnoiditis
, vascular changes, and myelitis occur.
MRI of L-spine without contrast showed crowding of the nerve roots in the lower lumbar spinal canal, suggestive of arachnoiditis
, and explained the cause of the patient's significant neurological decline.
Neurotuberculosis presents more frequently with tuberculous meningitis, tuberculomas, and spinal arachnoiditis
MRI dorsolumbar spine showed leptomeningeal enhancement suggestive of spinal leptomeningitis and arachnoiditis
Complications occurring at a later stage are known to be dural penetration, dermatomal pain, transient or permanent paresthesia, bowel and bladder dysfunction, headache, infection at the penetration site, epidural abscess, and arachnoiditis
. Among these complications, perhaps the most serious ones are those resulting from administering excessive fluid.