Acute Paraplegia Following Lumbar Puncture in a Patient with Cervical Disc Herniation - Case Report -
- Alternative Title
- 경추간판탈출증 환자에서 요추천자후에 발생한 급성 양하지마비 - 증례보고
- 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.
- All Author(s)
- 도재원
; 황선철
; 윤석만
; 배학근
; 이경석
; 윤일규
; 최순관
; 변박장
- Issued Date
- 2001
- Type
- Article
- Keyword
- Lumbar puncture·Myelography; Paraplegia; Cervical disc herniation
- ISSN
- 1225-8245
; 1598-7876
; 2005-3711
- Citation Title
- Acute Paraplegia Following Lumbar Puncture in a Patient with Cervical Disc Herniation - Case Report -
- Citation Volume
- 30
- Citation Number
- 8
- Citation Start Page
- 1042
- Citation End Page
- 1046
- Language(ISO)
- eng
- URI
- http://schca-ir.schmc.ac.kr//handle/2022.oak/394
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