Evidence map›Paper›PMID 40600119›Full record

ArticleRadiology case reports2025

Iatrogenic spinal subdural hematoma in undiagnosed thrombocytopenia: A rare case of delayed diagnosis mimicking neoplasm.

Kaustubh Gupta, Gaurav Raj, Tushant Kumar, Shailly Sonkar

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kaustubh GuptaDepartment of Radio-diagnosis, Dr. RMLIMS, Lucknow, Uttar Pradesh, India.
Gaurav RajDepartment of Radio-diagnosis, Dr. RMLIMS, Lucknow, Uttar Pradesh, India.
Tushant KumarDepartment of Radio-diagnosis, Dr. RMLIMS, Lucknow, Uttar Pradesh, India.
Shailly SonkarDepartment of Radio-diagnosis, Dr. RMLIMS, Lucknow, Uttar Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal subdural hematomas following lumbar puncture are rare but serious complications, typically associated with coagulopathies. We report a case of a 27-year-old male who developed progressive lower limb weakness and urinary incontinence after undergoing a diagnostic lumbar puncture at an outside facility. MRI spine initially suggested an intradural neoplasm due to clumped nerve roots and abnormal signal, delaying diagnosis. Further evaluation revealed previously undiagnosed thrombocytopenia (platelet count <30,000). The patient was managed conservatively following platelet transfusion with eventual neurological improvement. This case highlights the critical need for preprocedural coagulation screening and the diagnostic challenges posed by atypical imaging presentations of spinal hematoma.

Indexed as

Conservative managementIatrogenic spinal hematomaLumbar punctureMRI spineSpinal subdural hematomaThrombocytopenia

Identifiers

PMID40600119
PMCPMC12209904

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.