Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2010
Is neck flexion during a cerebrospinal fluid puncture a potentially hazardous maneuver?
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Surov Alexey, Kunze Christian, Lieser Ulla, Spielmann Rolf Peter, Kornhuber Malte
Аннотация
INTRODUCTION: Cerebrospinal fluid puncture (CSFP) is a diagnostically meaningful procedure. We describe an acute tetraplegia in a patient as complication after CSFP.
CASE HISTORIES: Cervical myelopathy due to posterior os odontoideum subluxation was diagnosed, and an occipitocervical fusion was performed surgically. No significant improvement of the neurological status was observed within the following 3 years.
CONCLUSIONS: Neck flexion as performed during CSFP is a potentially hazardous maneuver. When patients show inconstant symptoms of craniocervical pathology or signs of cervical myelopathy, an os odontoideum should be suspected.
CASE HISTORIES: Cervical myelopathy due to posterior os odontoideum subluxation was diagnosed, and an occipitocervical fusion was performed surgically. No significant improvement of the neurological status was observed within the following 3 years.
CONCLUSIONS: Neck flexion as performed during CSFP is a potentially hazardous maneuver. When patients show inconstant symptoms of craniocervical pathology or signs of cervical myelopathy, an os odontoideum should be suspected.