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Intracranial Hypotension Following Chiropractic Spinal Manipulation
Author(s) -
Prasad Sashank,
ElHaddad Ghassan,
Zhuang Hongming,
Khella Sami
Publication year - 2006
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2006.00589_1.x
Subject(s) - chiropractic , medicine , intracranial hypotension , cerebrospinal fluid , magnetic resonance imaging , leak , lumbar , spinal manipulation , surgery , cerebrospinal fluid leak , radiology , anesthesia , pathology , alternative medicine , environmental engineering , engineering
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.