Aggravation of Pre-existing Cervical Spondylotic Myelopathy with Limb Paralysis Following Lumbar Puncture: A Case Report.

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Journal of Nippon Medical School Pub Date : 2025-03-22 DOI:10.1272/jnms.JNMS.2025_92-602

Akiko Yamazaki, Masahiro Mishina, Masanori Sakamaki, Takehiko Nagao, Kazumi Kimura

引用次数: 0

Abstract

This case report highlights a rare occurrence of paraplegia following lumbar puncture (LP) in the presence of cervical disc herniation during cerebrospinal fluid (CSF) drainage. The patient was an elderly woman undergoing investigation for suspected neoplastic meningitis who experienced sudden acute paraplegia on the day following the LP procedure. LP is often contraindicated in patients with intracranial lesions. If patients exhibit myelopathy symptoms, such as increased lower extremity reflexes and positive Hoffmann and Trömner's signs without intracranial lesions, a thorough evaluation for occupying lesions, including cervical spondylotic myelopathy, is recommended before LP is carried out.

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本病例报告重点介绍了在脑脊液（CSF）引流过程中，颈椎间盘突出症患者在腰椎穿刺（LP）后发生截瘫的罕见病例。患者是一名老年女性，正在接受疑似肿瘤性脑膜炎的检查，在腰椎穿刺术后第二天突发急性截瘫。颅内病变患者通常禁用 LP。如果患者表现出脊髓病症状，如下肢反射增强、霍夫曼征和特罗姆纳征阳性而无颅内病变，则建议在实施 LP 前对占位性病变（包括颈椎病）进行全面评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nippon Medical School MEDICINE, GENERAL & INTERNAL-

CiteScore

1.80

自引率

10.00%

发文量

118

期刊介绍： The international effort to understand, treat and control disease involve clinicians and researchers from many medical and biological science disciplines. The Journal of Nippon Medical School (JNMS) is the official journal of the Medical Association of Nippon Medical School and is dedicated to furthering international exchange of medical science experience and opinion. It provides an international forum for researchers in the fields of bascic and clinical medicine to introduce, discuss and exchange thier novel achievements in biomedical science and a platform for the worldwide dissemination and steering of biomedical knowledge for the benefit of human health and welfare. Properly reasoned discussions disciplined by appropriate references to existing bodies of knowledge or aimed at motivating the creation of such knowledge is the aim of the journal.