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Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy

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 herniat...

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Autores principales: Lee, Juwhan, Paeng, Sung Hwa, Shim, Yong Woo, Lee, Won Hee, Kim, Sung Tae, Pyo, Se Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurotraumatology Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607032/
https://www.ncbi.nlm.nih.gov/pubmed/33163441
http://dx.doi.org/10.13004/kjnt.2020.16.e39
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author Lee, Juwhan
Paeng, Sung Hwa
Shim, Yong Woo
Lee, Won Hee
Kim, Sung Tae
Pyo, Se Young
author_facet Lee, Juwhan
Paeng, Sung Hwa
Shim, Yong Woo
Lee, Won Hee
Kim, Sung Tae
Pyo, Se Young
author_sort Lee, Juwhan
collection PubMed
description 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.
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spelling pubmed-76070322020-11-05 Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy Lee, Juwhan Paeng, Sung Hwa Shim, Yong Woo Lee, Won Hee Kim, Sung Tae Pyo, Se Young Korean J Neurotrauma Case Report 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. Korean Neurotraumatology Society 2020-10-21 /pmc/articles/PMC7607032/ /pubmed/33163441 http://dx.doi.org/10.13004/kjnt.2020.16.e39 Text en Copyright © 2020 Korean Neurotraumatology Society https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Juwhan
Paeng, Sung Hwa
Shim, Yong Woo
Lee, Won Hee
Kim, Sung Tae
Pyo, Se Young
Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy
title Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy
title_full Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy
title_fullStr Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy
title_full_unstemmed Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy
title_short Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy
title_sort acute quadriplegia after lumbar puncture in a patient with misdiagnosed cervical myelopathy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607032/
https://www.ncbi.nlm.nih.gov/pubmed/33163441
http://dx.doi.org/10.13004/kjnt.2020.16.e39
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