Spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibroma
Lumbar puncture in the presence of an intracranial tumor with raised intracranial pressure is known to have catastrophic consequences due to herniation of intracranial contents through the tentorial hiatus or foramen magnum. There are relatively few case reports about the same sequence of events whe...
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doaj-c862eab3b870426badf5247bdadfde242020-11-25T00:31:58ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492013-01-0116344044210.4103/0972-2327.116935Spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibromaPrasad KrishnanSiddhartha RoychowdhuryLumbar puncture in the presence of an intracranial tumor with raised intracranial pressure is known to have catastrophic consequences due to herniation of intracranial contents through the tentorial hiatus or foramen magnum. There are relatively few case reports about the same sequence of events when lumbar puncture is performed below the level of a complete spinal block. The mechanism of such deterioration is also subject to conjecture as the spinal cord (unlike the uncus or cerebellar tonsils) is tethered by the dentate ligament and roots on either side, and is hence less mobile. We present one such case of spinal coning and review the available literature.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2013;volume=16;issue=3;spage=440;epage=442;aulast=KrishnanCervical neurofibromalumbar puncturespinal coning |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Prasad Krishnan Siddhartha Roychowdhury |
spellingShingle |
Prasad Krishnan Siddhartha Roychowdhury Spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibroma Annals of Indian Academy of Neurology Cervical neurofibroma lumbar puncture spinal coning |
author_facet |
Prasad Krishnan Siddhartha Roychowdhury |
author_sort |
Prasad Krishnan |
title |
Spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibroma |
title_short |
Spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibroma |
title_full |
Spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibroma |
title_fullStr |
Spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibroma |
title_full_unstemmed |
Spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibroma |
title_sort |
spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibroma |
publisher |
Wolters Kluwer Medknow Publications |
series |
Annals of Indian Academy of Neurology |
issn |
0972-2327 1998-3549 |
publishDate |
2013-01-01 |
description |
Lumbar puncture in the presence of an intracranial tumor with raised intracranial pressure is known to have catastrophic consequences due to herniation of intracranial contents through the tentorial hiatus or foramen magnum. There are relatively few case reports about the same sequence of events when lumbar puncture is performed below the level of a complete spinal block. The mechanism of such deterioration is also subject to conjecture as the spinal cord (unlike the uncus or cerebellar tonsils) is tethered by the dentate ligament and roots on either side, and is hence less mobile. We present one such case of spinal coning and review the available literature. |
topic |
Cervical neurofibroma lumbar puncture spinal coning |
url |
http://www.annalsofian.org/article.asp?issn=0972-2327;year=2013;volume=16;issue=3;spage=440;epage=442;aulast=Krishnan |
work_keys_str_mv |
AT prasadkrishnan spinalconingafterlumbarpunctureinapatientwithundiagnosedgiantcervicalneurofibroma AT siddhartharoychowdhury spinalconingafterlumbarpunctureinapatientwithundiagnosedgiantcervicalneurofibroma |
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