Acute Lumbar Spinal Subdural Hematoma Inducing Paraplegia After Lumbar Spinal Manipulation: Case Report and Literature Review

被引：5

作者：

Benyaich, Zakariae ^{[1
]}

Laghmari, Mehdi ^{[1
]}

Lmejjati, Mohamed ^{[1
]}

Aniba, Khalid ^{[1
]}

Ghannane, Houssine ^{[1
]}

Benali, Said Ait ^{[1
]}

机构：

[1] Cadi Ayyad Univ Marrakech, Dept Neurosurg, Univ Hosp Ctr Marrakech, FMPM, Marrakech, Morocco

来源：

WORLD NEUROSURGERY | 2019年 / 128卷

关键词：

Cauda equina syndrome; Spinal manipulative therapy; Spinal subdural hematoma; Surgical decompression; IMAGING FINDINGS; RESOLUTION;

D O I：

10.1016/j.wneu.2019.05.002

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND: Traumatic spinal subdural hematoma is an extremely rare occurrence that requires urgent investigation and most often prompt intervention. To our knowledge, this is the first reported case related to a spinal manipulative therapy. CASE DESCRIPTION: This report describes a case of traumatic lumbar subdual hematoma after a spinal manipulative therapy without any predisposing factor. A 23-year-old man was admitted to the emergency department for partial cauda equina syndrome after a spinal manipulation performed by a physiotherapist. Magnetic resonance imaging showed an acute spinal subdural hematoma at L2-L3 level with cauda equina compression. The patient underwent an emergency L2 laminectomy with evacuation of the hematoma. He recovered completely his neurologic functions after 1 week. CONCLUSION: Practitioners of spinal manipulations should be aware of spinal subdural hematoma as a possible complication. A rapid diagnosis with magnetic resonance imaging is mandatory, and emergency surgical decompression is usually the optimal treatment for spinal subdural hematomas with severe neurologic deficit.

引用

页码：182 / 185

页数：4