Post-myelography paraplegia in a woman with thoracic stenosis

Hesham M. Soliman, Paul M. Arnold, Ernest J. Madarang

Research output: Contribution to journalArticlepeer-review

Abstract

Context: Myelography is a commonly performed diagnostic test used to assess spine pathology. Complications are unusual and usually self-limited. We report a rare case of transient paraplegia following myelography in a woman with thoracic stenosis. Findings: A 51-year-old woman, 20 months status post-thoracic laminectomy, presented with progressive lower extremity weakness. The patient underwent myelography and post-myelography CT, and became paraplegic after the lumbar injection. Intravenous steroids were administered and a lumbar puncture was performed. The patient's neurologic function returned to baseline over the next 96 hours. Conclusion and clinical relevance: Myelography is generally a safe procedure, but on rare occasions serious complications can arise. Therapeutic maneuvers may be helpful in reversing neurologic deficit.

Original languageEnglish (US)
Pages (from-to)247-249
Number of pages3
JournalJournal of Spinal Cord Medicine
Volume36
Issue number3
DOIs
StatePublished - May 1 2013
Externally publishedYes

Keywords

  • Diagnostic imaging
  • Laminectomy
  • Myelopathy complication
  • Ossification of the posterior longitudinal ligament
  • Paraparesis
  • Paraplegia
  • Spinal stenosis
  • Thoracic vertebrae

ASJC Scopus subject areas

  • Clinical Neurology

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