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NEUROLOGY 1983;33:93
© 1983 American Academy of Neurology

Acute flaccid neonatal paraplegia

A case report Scott Haldeman, MD, PhD, Glenn W. Fowler, MD, Stephen Ashwal, MD and Sanford Schneider, MD

Neurology Service (Dr. Haldeman), Veterans Administration Medical Center Long Beach, CA, the Department of Neurology and Pediatries (Dr. Fowler), University of California, Irvine and the Department of Pediatries and Neurology (Drs. Ashwal and Sehneider), Lorna Linda University, Lorna Linda, CA.

A 3-day-old neonate became acutely and irreversibly paraplegic below L1/L2 after umbilical artery catheterization. The paraplegia was attributed to infarction of the spinal cord because of thrombosis of the artery of Adamkievicz or injection of drugs through the catheter into the spinal cord circulation. Catheterization of a more peripheral artery or placement of the umbilical catheter tip at a lower level in the aorta may prevent similar complications.

Address correspondence and reprint requests to Dr. Haldeman, Neurology Service (1271, Veterans Administration Medical Center, 5901 East Seventh Street, Long Beach, CA 90822.

Accepted for publication September 22, 1981




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