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What Causes Inability To Move Toes After Lumbar Puncture?

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Posted on Mon, 30 Nov 2015
Question: Had lumbar puncture. Felt extreme pain w needle near end of procedure b4 taking out CSF fluid. 6hours after woke up n could not move left toes n in few more hours could not move right toes n up to both ankles Mri done 4 days later show mild stenosis only. CSF fluid incl small amount xanthochromia n protein .80
Emgs 3wks after n 6 months after showed no demyelination n could not get response from most muscles in both lower legs. . Genetic Tested for cmt but normal. Now use crow boots walker n wheelchair to get around 22 months later. Admitted to hospital w severe vomiting n headache 48 hours prior to paralysis
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Answered by Dr. Neeraj Kumar (22 minutes later)
Brief Answer:
provide more details as asked

Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
The possibility of Lumbar puncture related injury to cord is very uncommon as the level of lumbar puncture is below the cord level at roots level.
Other possibility may be traumatic blood related arachnoiditis or infection during procedure. These possibilities are also not in your case.
Is there any history of drug administration during procedure into spinal space as it may some time lead to injury.
You may be having myelitis after the procedure a coincidence.
IS your limbs flaccid or spastic?
A rare possibility may be injury to bilateral motor cortex in brain due to shunt ?
Have you consulted a neurologist and what are the examination findings?
You can upload his prescription for availability of such details.
Do get back with these details.regards
Dr Neeraj Kumar
Neurologist
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Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Causes Inability To Move Toes After Lumbar Puncture?

Brief Answer: provide more details as asked Detailed Answer: Hello XXXX, I have gone through your question and understand your concerns. The possibility of Lumbar puncture related injury to cord is very uncommon as the level of lumbar puncture is below the cord level at roots level. Other possibility may be traumatic blood related arachnoiditis or infection during procedure. These possibilities are also not in your case. Is there any history of drug administration during procedure into spinal space as it may some time lead to injury. You may be having myelitis after the procedure a coincidence. IS your limbs flaccid or spastic? A rare possibility may be injury to bilateral motor cortex in brain due to shunt ? Have you consulted a neurologist and what are the examination findings? You can upload his prescription for availability of such details. Do get back with these details.regards Dr Neeraj Kumar Neurologist