Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy / 대한신경손상학회지
Korean Journal of Neurotrauma
;
: 299-304, 2020.
Artigo
em Inglês
| WPRIM
| ID: wpr-917980
ABSTRACT
The incidence of quadriplegia following drainage of cerebrospinal fluid by lumbar puncture (LP) below a spinal occupying lesion is rare. We report a case of acute quadriplegia following LP for presumed normal pressure hydrocephalus (NPH) in a 66-year-old man. Acute cervical myelopathy with a herniated cervical disc was subsequently found on magnetic resonance imaging (MRI) at the C5–6 level. After posterior decompression and anterior cervical discectomy and fusion at the C5–6 level with a cervical plate, the patient's motor and sensory functions recovered. Clinicians should be aware that symptoms of NPH and cervical myelopathy may overlap, and that serious complications may occur when performing LP below a spinal lesion. As a safety measure, cervical spine MRI should be performed before LP.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Idioma:
Inglês
Revista:
Korean Journal of Neurotrauma
Ano de publicação:
2020
Tipo de documento:
Artigo
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