[Lhermitte's sign during lateral cervical puncture: survey of possible accidents in the lateral C1-C2 puncture and report of 2 cases of spinal cord penetration].
Lhermitte's sign was referred by two patients during lateral cervical puncture (LCP) due to accidental puncture of the spinal cord; no sequelae were observed in these patients. A brief review of the literature is presented, concerning: 1. Lhermitte's sign; 2. reported accidents during LCP. Avoidance of neural and/or vascular injuries is possible by employing the posterior approach to LCP (puncture of the dorsal spinal subarachnoid space at C1-C2). The lateral suboccipital puncture (at the atlanto-occipital space) of the cisterna magna is also recommended.
Rossitti
S L
SL
Departamento de Neuro-Psiquiatria, Faculdade de Ciências Médicas da Pontifícia Universidade Católica de Campinas (PUCCAMP), SP, Brasil.
Balbo
R J
RJ
D000328:Adult; D002543:Cerebral Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000209:etiology* / Q000503:physiopathology; D013129:Spinal Puncture / Q000009:adverse effects*
Sinal de Lhermitte durante punção cervical lateral: sumário dos acidentes possíveis na punção lateral C1-C2 e relato de dois casos de penetração medular.