title: A case of subdural hematoma and temporal bone fracture as complications of chiropractic manipulation.
abstract: We present a case of subdural hematoma and temporal bone fracture as a complication of chiropractic manipulation. Subdural hematoma in the elderly may follow insignificant, often forgotten, trauma and may develop slowly and progress. Our patient presented with a complaint of headache three days after forceful chiropractic manipulation, but denied any history of trauma. Computed tomography confirmed the presence of a subdural hematoma and a temporal bone fracture and the patient underwent successful surgical treatment. Our experience identifies a previously unreported mechanism of injury in patients with subdural hematoma presenting to the emergency department with a complaint of headache.
authors.affiliation: Department of Emergency Medicine, Wright State University School of Medicine, Dayton, Ohio.
authors.forename: P J
authors.initials: PJ
authors.lastname: Stuart
authors.forename: T
authors.initials: T
authors.lastname: Bernstein
mesh_terms: D000368:Aged; D002684:Chiropractic; D005260:Female; D006408:Hematoma, Subdural / Q000209:etiology*; D006801:Humans; D012887:Skull Fractures / Q000209:etiology*; D013701:Temporal Bone / Q000293:injuries*