Acute paraplegia after myelography: decompensation of a herniatad thoracic disc.
A 71-year-old patient presented with low back pain and slowly progressive weakness of both legs. Within a few hours after lumbar myelography, paraplegia below level L2 evolved. MR-imaging revealed a discogenic stenosis at level Th10/11. Immediate decompression by costo-transversectomy led to reversal of the neurological deficits.
Cordier
D
D
Division of Neurosurgery, University Hospital of Basel, Spitalstrasse 21, 4031 Basel, Switzerland. cordierd@uhbs.ch
Wasner
M-G
MG
Gluecker
T
T
Gratzl
O
O
Merlo
A
A
D000208:Acute Disease; D000368:Aged; D002114:Calcinosis / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery*; D017116:Low Back Pain / Q000209:etiology*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D009192:Myelography / Q000009:adverse effects; D010264:Paraplegia / Q000209:etiology / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery*; D016896:Treatment Outcome