Case report
Neonatal segmental myoclonus associated with hyperglycorrhachia

https://doi.org/10.1016/0887-8994(95)00087-VGet rights and content

Abstract

Segmental or spinal myoclonus is an uncommon involuntary movement in infancy which has been attributed to sepsis, degenerative and developmental diseases of the spinal cord, birth trauma, and sclerosing panencephalitis. A premature infant presenting with segmental myoclonus associated with extreme hyperglycorrhachia secondary to the administration of parenteral nutrition through a femoral percutaneous indwelling central catheter that had inadvertently migrated into a paravertebral vein is reported. We recommend a lateral abdominal radiograph in addition to the usual anteroposterior view to confirm the correct placement of femoral catheters.

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  • Complications of Vascular Catheters in the Neonatal Intensive Care Unit

    2008, Clinics in Perinatology
    Citation Excerpt :

    In these cases, the effusions have been attributed to increased vascular permeability secondary to endothelial damage by hyperosmolar infusates or to increased hydrostatic pressure [50]. At least 10 cases of neurologic complications have been reported in neonates caused by the inadvertent malposition of CVCs in the ascending lumbar vein, after placement of the catheter in a vein in the lower extremity [51–60]. In all cases, initial placement of the CVC was considered satisfactory, based on standard anteroposterior views of abdominal radiographs showing the catheter apparently to be in the iliac vein or IVC.

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