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Chirurgia 2015 June;28(3):125-8

language: English

Transient flaccid paralysis of both lower extremities as complication of lumbar puncture for tubercular meningitis patients: report of two cases

Xi X., Li M., Zhang H., Shi G., Zhang L., Wang H.

The First Affiliated Hospital of Xinxiang Medical University, Weihui Henan Province, China


Lumbar puncture (LP) is a relatively straightforward and safe procedure for the diagnosis of a variety of infectious/noninfectious neurologic conditions in clinic, especially for patients with tubercular meningitis (TBM). Multiple LPs are needed for TBM diagnosis and intrathecal therapy. However, minor and major complications can occur along with LPs. LP-related complications is important for improving LP procedure, and thus it helps physicians to avoid complications or treat complications properly after it occures. We focused on investigating LP complications and closely monitored the TBM patients post every LP. A 30-year-old male and a 15-year-old girl with TBM who developed transient flaccid paralysis of both lower extremities post LP procedure were reported here. Transient flaccid paralysis of both lower extremities as a new LP complication occurred in two to five minutes post LP; it is transient and reversible, and it disappeared in two hours after supine posture recovery. This new LP related complication has never been reported up to now.

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