Severe Backache followed by Lumbar Punctur

The purpose of this study is to report a case of severe back pain following lumbar puncture (LP), which was associated with an accidental tether cord syndrome (TCS) in MRI. The patient was a 10-year-old boy that was hospitalized in the pediatric ward for severe headache and to rule out meningitis. F...

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Main Authors: Ezzat Khodashenas, Alireza Ataei Nakhaei, Elahe Heidari
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2017-12-01
Series:Reviews in Clinical Medicine
Subjects:
Online Access:https://rcm.mums.ac.ir/article_10070_c4fc24f3f2b4d715ca2c7966b2533b79.pdf
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author Ezzat Khodashenas
Alireza Ataei Nakhaei
Elahe Heidari
author_facet Ezzat Khodashenas
Alireza Ataei Nakhaei
Elahe Heidari
author_sort Ezzat Khodashenas
collection DOAJ
description The purpose of this study is to report a case of severe back pain following lumbar puncture (LP), which was associated with an accidental tether cord syndrome (TCS) in MRI. The patient was a 10-year-old boy that was hospitalized in the pediatric ward for severe headache and to rule out meningitis. First, LP was performed for him, but he suffered very severe back pain after LP. Lumbosacral MRI was performed to rule out collection or abscess formation, but the evidence of the TCS was accidentally found; however, it was too unexpected before. In the short term follow up, the symptoms of the patient were completely resolved by using analgesics. It was shown that his pain was as a result of LP. In general, although sometimes severe lower back pain after LP may be overwhelming, if neurologic examination were normal, it is important to assure parents that it would be resolved.
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spelling doaj.art-946e9530a72d44f7a4d7f41cf6c31efc2022-12-27T13:09:37ZengMashhad University of Medical SciencesReviews in Clinical Medicine2345-62562345-68922017-12-014417317510.22038/rcm.2018.25995.121410070Severe Backache followed by Lumbar PuncturEzzat Khodashenas0Alireza Ataei Nakhaei1Elahe Heidari2Department of pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Department of pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Department of pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.The purpose of this study is to report a case of severe back pain following lumbar puncture (LP), which was associated with an accidental tether cord syndrome (TCS) in MRI. The patient was a 10-year-old boy that was hospitalized in the pediatric ward for severe headache and to rule out meningitis. First, LP was performed for him, but he suffered very severe back pain after LP. Lumbosacral MRI was performed to rule out collection or abscess formation, but the evidence of the TCS was accidentally found; however, it was too unexpected before. In the short term follow up, the symptoms of the patient were completely resolved by using analgesics. It was shown that his pain was as a result of LP. In general, although sometimes severe lower back pain after LP may be overwhelming, if neurologic examination were normal, it is important to assure parents that it would be resolved.https://rcm.mums.ac.ir/article_10070_c4fc24f3f2b4d715ca2c7966b2533b79.pdfcomplicationlumbar puncturetethered cord
spellingShingle Ezzat Khodashenas
Alireza Ataei Nakhaei
Elahe Heidari
Severe Backache followed by Lumbar Punctur
Reviews in Clinical Medicine
complication
lumbar puncture
tethered cord
title Severe Backache followed by Lumbar Punctur
title_full Severe Backache followed by Lumbar Punctur
title_fullStr Severe Backache followed by Lumbar Punctur
title_full_unstemmed Severe Backache followed by Lumbar Punctur
title_short Severe Backache followed by Lumbar Punctur
title_sort severe backache followed by lumbar punctur
topic complication
lumbar puncture
tethered cord
url https://rcm.mums.ac.ir/article_10070_c4fc24f3f2b4d715ca2c7966b2533b79.pdf
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