AJP Rep 2011; 01(01): 043-046
DOI: 10.1055/s-0031-1277101
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cerebellar Herniation after Lumbar Puncture in Galactosemic Newborn

Salih Kalay
1   Department of Neonatology, Akdeniz University School of Medicine, Antalya, Turkey
,
Osman Öztekin
1   Department of Neonatology, Akdeniz University School of Medicine, Antalya, Turkey
,
Gönül Tezel
1   Department of Neonatology, Akdeniz University School of Medicine, Antalya, Turkey
,
Hakan Demirtaş
2   Department of Radiology, Akdeniz University School of Medicine, Antalya, Turkey
,
Mustafa Akçakuş
1   Department of Neonatology, Akdeniz University School of Medicine, Antalya, Turkey
,
Nihal Oygür
1   Department of Neonatology, Akdeniz University School of Medicine, Antalya, Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
11 April 2011 (online)

Abstract

Cerebral edema resulting in elevated intracranial pressure is a well-known complication of galactosemia. Lumbar puncture was performed for the diagnosis of clinically suspected bacterial meningitis. Herniation of cerebral tissue through the foramen magnum is not a common problem in neonatal intensive care units because of the open fontanelle in infants. We present the case of a 3-week-old infant with galactosemia who presented with signs of cerebellar herniation after lumbar puncture.

 
  • References

  • 1 Bosch AM. Classical galactosaemia revisited. J Inherit Metab Dis 2006; 29: 516-525
  • 2 Elsas LJ. Galactosemia. In: Pagon RA, Bird TC, Dolan CR, Stephens K, eds. GeneReviews [Internet]. Seattle, WA: University of Washington, Seattle; 1993. Available at: http://www.ncbi.nlm.nih.gov/books/NBK1518/ . Accessed February 5, 2010
  • 3 Ridel KR, Leslie ND, Gilbert DL. An updated review of the long-term neurological effects of galactosemia. Pediatr Neurol 2005; 33: 153-161
  • 4 Lai K, Elsas LJ, Wierenga KJ. Galactose toxicity in animals. IUBMB Life 2009; 61: 1063-1074
  • 5 Pietrangelo A. Inherited metabolic disease of the liver. Curr Opin Gastroenterol 2009; 25: 209-214
  • 6 Riordan FA, Cant AJ. When to do a lumbar puncture. Arch Dis Child 2002; 87: 235-237
  • 7 Gomella TL. Lumbar puncture. In: Gomella TL, Cunningham MD, Eyal FG, Zenk KE, eds. Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 5th ed. New York: McGraw-Hill Companies; 2004: 245-247
  • 8 Thibert RL, Burns JD, Bhadelia R, Takeoka M. Reversible uncal herniation in a neonate with a large MCA infarct. Brain Dev 2009; 31: 763-765
  • 9 Feske SK, Carrazana EJ, Kupsky WJ, Volpe JJ. Uncal herniation secondary to bacterial meningitis in a newborn. Pediatr Neurol 1992; 8: 142-144