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Occult epidural chloroma complicated by acute paraplegia following lumbar puncture
Author(s) -
Wong Meng C.,
Krol George,
Rosenblum Marc K.
Publication year - 1992
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.410310121
Subject(s) - occult , medicine , paraplegia , lumbar , surgery , lumbar puncture , spinal cord , cerebrospinal fluid , pathology , alternative medicine , psychiatry
Acute paraplegia complicating lumbar puncture in a leukemic patient with an unsuspected epidural chloroma is described, including the postmortem findings. Lumbar puncture can precipitate irreversible injury to the spinal cord in the patient with an occult lesion causing subarachnoid block. This account, in addition to documenting this phenomenon, suggests a potential advantage to magnetic resonance imaging over myelography.