Intracranial hypotension following chiropractic spinal manipulation

被引：19
作者：
Prasad, Sashank
El-Haddad, Ghassan
Zhuang, Hongming
Khella, Sami
机构：
[1] Hosp Univ Penn, Dept Neurol, Philadelphia, PA 19104 USA
[2] Hosp Univ Penn, Dept Radiol, Div Nucl Med, Philadelphia, PA 19104 USA
来源：
HEADACHE | 2006年 / 46卷 / 09期
关键词：
intracranial hypotension; chiropractic;
D O I：
10.1111/j.1526-4610.2006.00589_1.x
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
We report a case of intracranial hypotension caused by chiropractic manipulation which, in contrast to previously reported cases, documents the location of the cerebrospinal fluid leak by radionuclide cisternography. Cervical spinal manipulation produced a remote lumbar dural tear in our patient. Spinal magnetic resonance imaging may falsely localize the dural tear in this condition. Although conservative management is often sufficient, precise localization is required for more invasive therapies.
引用
收藏
页码：1456 / 1458
页数：3
相关论文
共 10 条
[1]   Intracranial hypotension after chiropractic manipulation of the cervical spine [J].
Beck, J ;
Raabe, A ;
Seifert, V ;
Dettmann, E .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2003, 74 (06) :821-822
[2]   Spinal radiological findings in nine patients with spontaneous intracranial hypotension [J].
Chiapparini, L ;
Farina, L ;
D'Incerti, L ;
Erbetta, A ;
Pareyson, D ;
Carriero, MR ;
Savoiardo, M .
NEURORADIOLOGY, 2002, 44 (02) :143-150
[3]   Syndrome of cerebral spinal fluid hypovolemia - Clinical and imaging features and outcome [J].
Chung, SJ ;
Kim, JS ;
Lee, MC .
NEUROLOGY, 2000, 55 (09) :1321-1327
[4]  
Di Duro JO, 2004, J NEUROL NEUROSUR PS, V75, P346
[5]   More complications of spinal manipulation [J].
Jeret, JS .
STROKE, 2001, 32 (08) :1936-1937
[6]   Spinal fluid leak after chiropractic manipulation of the cervical spine [J].
Mathews, MK ;
Frohman, L ;
Lee, HJ ;
Sergott, RC ;
Savino, PJ .
ARCHIVES OF OPHTHALMOLOGY, 2006, 124 (02) :283-283
[7]   The Monro-Kellie hypothesis - Applications in CSF volume depletion [J].
Mokri, B .
NEUROLOGY, 2001, 56 (12) :1746-1748
[8]   False localizing sign of C1-2 cerebrospinal fluid leak in spontaneous intracranial hypotension [J].
Schievink, WI ;
Maya, MM ;
Tourje, J .
JOURNAL OF NEUROSURGERY, 2004, 100 (04) :639-644
[9]   Spontaneous spinal cerebrospinal fluid leaks and minor skeletal features of Marfan syndrome: a microfibrillopathy [J].
Schrijver, I ;
Schievink, WI ;
Godfrey, M ;
Meyer, FB ;
Francke, U .
JOURNAL OF NEUROSURGERY, 2002, 96 (03) :483-489
[10]  
Yousry I, 2001, AM J NEURORADIOL, V22, P1239
1