Document Detail

Intramedullary hemorrhage in a neonate after lumbar puncture resulting in paraplegia: a case report.
MedLine Citation:
PMID:  15121964     Owner:  NLM     Status:  MEDLINE    
We present the case of a premature infant with decreased spontaneous movement of the lower extremities. Imaging was demonstrative of a lesion of the conus medullaris. Operatively and with histologic confirmation, the mass was determined to be a blood clot originating from the conus. Retrospectively, the patient had a known lumbar puncture. There were no clotting abnormalities in this patient. At long-term follow-up, the child continues to have lower extremity paresis and incontinence of bowel and bladder. Clinicians should consider the lower termination of the conus medullaris in the infant, especially in the preterm infant.
R Shane Tubbs; Matthew D Smyth; John C Wellons; W Jerry Oakes
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  113     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-05-03     Completed Date:  2004-08-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1403-5     Citation Subset:  AIM; IM    
Pediatric Neurosurgery, Children's Hospital, Birmingham, Alabama, USA.
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MeSH Terms
Hematoma / etiology
Hematoma, Epidural, Cranial / etiology*
Infant, Newborn
Infant, Premature
Paraplegia / etiology*
Spinal Cord Compression / etiology
Spinal Puncture / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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