{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T12:32:43Z","timestamp":1755693163074},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2015,9,18]],"date-time":"2015-09-18T00:00:00Z","timestamp":1442534400000},"content-version":"unspecified","delay-in-days":12009,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. j. neurol. sci."],"published-print":{"date-parts":[[1982,11]]},"abstract":"<jats:title>SUMMARY:<\/jats:title><jats:p>A 6-year-old child with meningitis had a respiratory arrest 20 minutes after a lumbar puncture. Thereafter she required maintenance on a ventilator, had a flaccid quadriplegia, and died 12 days later. Necropsy showed infarction of the central portion of the cord at the level of the decussation of the pyramids. The suggested mechanism of damage is compression of the arterial supply to the cord at the level of the foramen magnum by herniated cerebellar tonsils; concomitant hypotension may have contributed to production of the damage. Four similar cases, who survived with residual deficit, have also been reported. Other separate mechanisms by which the cord can be damaged in meningitis are vasculitis, thrombosis and arachnoiditis.<\/jats:p>","DOI":"10.1017\/s0317167100044371","type":"journal-article","created":{"date-parts":[[2016,7,28]],"date-time":"2016-07-28T07:34:47Z","timestamp":1469691287000},"page":"443-447","source":"Crossref","is-referenced-by-count":10,"title":["Respiratory Arrest and Cervical Spinal Cord Infarction Following Lumbar Puncture in Meningitis"],"prefix":"10.1017","volume":"9","author":[{"given":"Margaret G.","family":"Norman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,9,18]]},"reference":[{"key":"S0317167100044371_ref261","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1971.35.2.0141"},{"key":"S0317167100044371_ref260","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1980.tb07116.x"},{"key":"S0317167100044371_ref259","first-page":"661","article-title":"Spinal cord ischemia complicating meningococcal meningitis. Postgrad. Med","volume":"56","author":"Swart","year":"1980","journal-title":"J"},{"key":"S0317167100044371_ref257","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410070605"},{"key":"S0317167100044371_ref254","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1979.50.3.0353"},{"key":"S0317167100044371_ref250","doi-asserted-by":"publisher","DOI":"10.1159\/000114089"},{"key":"S0317167100044371_ref249","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(78)80509-5"},{"key":"S0317167100044371_ref248","author":"Crosbie","year":"1962"},{"key":"S0317167100044371_ref252","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197204202861608"},{"key":"S0317167100044371_ref258","first-page":"492","article-title":"Pathology, classification and clinical aspects of vascular diseases of the spinal cord","volume":"12","author":"Lazorthes","year":"1972","journal-title":"Amsterdam, North Holland"},{"key":"S0317167100044371_ref251","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.21.8.833"},{"key":"S0317167100044371_ref253","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.28.11.1145"},{"key":"S0317167100044371_ref256","first-page":"565","article-title":"Displacement of cerebellar tissue into spinal canal: a component of respirator brain syndrome","volume":"99","author":"Herrick","year":"1975","journal-title":"Arch. Pathol"},{"key":"S0317167100044371_ref262","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(48)90266-9"},{"key":"S0317167100044371_ref255","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1981.55.1.0121"}],"container-title":["Canadian Journal of Neurological Sciences \/ Journal Canadien des Sciences Neurologiques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0317167100044371","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,24]],"date-time":"2019-05-24T16:26:37Z","timestamp":1558715197000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0317167100044371\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1982,11]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1982,11]]}},"alternative-id":["S0317167100044371"],"URL":"https:\/\/doi.org\/10.1017\/s0317167100044371","relation":{},"ISSN":["0317-1671","2057-0155"],"issn-type":[{"value":"0317-1671","type":"print"},{"value":"2057-0155","type":"electronic"}],"subject":[],"published":{"date-parts":[[1982,11]]}}}