Cervicothoracic epidural hematoma after chiropractic spinal manipulation therapy: Case report and review of the literature

Maurizio Domenicucci, Alessandro Ramieri, Maurizio Salvati, Christian Brogna, Antonino Raco

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)571-574
Number of pages4
JournalJournal of Neurosurgery: Spine
Volume7
Issue number5
DOIs
Publication statusPublished - Nov 2007

Keywords

  • Brown-Séquard syndrome
  • Cervical spine manipulation therapy
  • Chiropractic
  • Epidural hematoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Neurology

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