Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy.
Korean J Neurotrauma
; 16(2): 299-304, 2020 Oct.
Article
em En
| MEDLINE
| ID: mdl-33163441
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:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Korean J Neurotrauma
Ano de publicação:
2020
Tipo de documento:
Article