Document Detail

Cervicothoracic epidural hematoma after chiropractic spinal manipulation therapy. Case report and review of the literature.
MedLine Citation:
PMID:  17977203     Owner:  NLM     Status:  MEDLINE    
A spinal epidural hematoma is an extremely rare complication of cervical spine manipulation therapy (CSMT). The authors present the case of an adult woman, otherwise in good health, who developed Brown-Séquard syndrome after CSMT. Decompressive surgery performed within 8 hours after the onset of symptoms allowed for complete recovery of the patient's preoperative neurological deficit. The unique feature of this case was the magnetic resonance image showing increased signal intensity in the paraspinal musculature consistent with a contusion, which probably formed after SMT. The pertinent literature is also reviewed.
Maurizio Domenicucci; Alessandro Ramieri; Maurizio Salvati; Christian Brogna; Antonino Raco
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Spine     Volume:  7     ISSN:  1547-5654     ISO Abbreviation:  -     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-05     Completed Date:  2007-11-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101223545     Medline TA:  J Neurosurg Spine     Country:  United States    
Other Details:
Languages:  eng     Pagination:  571-4     Citation Subset:  IM    
Department of Neurological Sciences, Neurosurgery, University of Rome "La Sapienza", Rome, Italy.
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MeSH Terms
Cervical Vertebrae*
Hematoma, Epidural, Spinal / diagnosis,  etiology*,  therapy
Manipulation, Chiropractic / adverse effects*
Middle Aged
Thoracic Vertebrae*

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