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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Neurotraumatology Society
2020
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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. |
format | Online Article Text |
id | pubmed-7607032 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Neurotraumatology Society |
record_format | MEDLINE/PubMed |
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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