Document Detail

Flaccid quadriplegia from tonsillar herniation in pneumococcal meningitis.
MedLine Citation:
PMID:  10938617     Owner:  NLM     Status:  MEDLINE    
A young woman with fulminant pyogenic meningitis became quadriplegic, areflexic and flaccid due to herniation of the cerebellar tonsils and compression of the upper cervical cord. This state of spinal shock was associated with absent F-waves. Intracranial pressure was greatly elevated and there was an uncertain relationship of tonsillar descent to a preceding lumbar puncture. Partial recovery occurred over 2 years. Tonsillar herniation can cause flaccid quadriplegia that may be mistaken for critical illness polyneuropathy. This case demonstrates cervicomedullary infarction from compression, a mechanism that is more likely than the sometimes proposed infectious vasculitis of the upper cord.
A H Ropper; K B Kanis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  7     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-09-14     Completed Date:  2000-09-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  339-41     Citation Subset:  IM    
Copyright Information:
Copyright 2000 Harcourt Publishers Ltd.
Neurology Service, St. Elizabeth's Medical Center, Boston, MA 02135, USA.
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MeSH Terms
Cerebellar Diseases / complications,  etiology*,  pathology
Cerebellum / microbiology,  pathology*,  physiopathology
Encephalocele / complications,  etiology*,  pathology
Magnetic Resonance Imaging
Meningitis, Pneumococcal / complications*
Quadriplegia / etiology*,  pathology,  physiopathology
Recovery of Function
Spinal Cord Compression / etiology*,  pathology,  physiopathology

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