Acute Paraplegia Following Lumbar Puncture in a Patient with Cervical Disc Herniation
Journal of Korean Neurosurgical Society
;
: 1042-1046, 2001.
Artículo
en Coreano
| WPRIM
| ID: wpr-208534
ABSTRACT
The incidence of paraplegia following drain of cerebrospinal fluid(CSF) by lumbar puncure below a spinal block is rare, and most of them occurred in spinal tumor. We report a case of acute paraplegia following lumbar puncture for computed tomography myelography(CTM) in a 42-year-old man who sustained a cervical disc herniation. Four hours after lumbar puncture for CTM, sudden paraplegia was developed. After emergent anterior cervical discectomy and fusion with cervical plating, the patient recovered completely. To the authors' knowledge, this is the first case of spinal shock complicating lumbar puncture for routine myelography in a patient with cervical disc herniation. The prompt recognition of this unusual complication of lumbar puncture may lead to good clinical outcome. Instead of CTM requiring lumbar puncture, MRI should be considered as the initial diagnostic procedure in a patient of cervical disc herniation associated with myelopathy. We discuss the possible mechanisms of acute paraplegia following lumbar puncture with literature review.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Paraplejía
/
Choque
/
Enfermedades de la Médula Espinal
/
Punción Espinal
/
Imagen por Resonancia Magnética
/
Mielografía
/
Incidencia
/
Discectomía
Tipo de estudio:
Estudio de incidencia
/
Estudio pronóstico
Límite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Neurosurgical Society
Año:
2001
Tipo del documento:
Artículo
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