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KMID : 1143720200160020299
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Korean Journal of Neurotrauma
2020 Volume.16 No. 2 p.299 ~ p.304
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Acute Quadriplegia after Lumbar Puncture in a Patient with Misdiagnosed Cervical Myelopathy
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Lee Ju-Whan
Paeng Sung-Hwa
Shim Yong-Woo
Lee Won-Hee
Kim Sung-Tae
Pyo Se-Young
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Abstract
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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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KEYWORD
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Quadriplegia, Myelopathy, Lumbar puncture, Spinal cord injuries, Normal pressure hydrocephalus
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