title: Acute intracranial hemorrhage caused by acupuncture.
abstract: A 44-year-old Chinese man developed severe occipital headache, nausea, and vomiting during acupuncture treatment of the posterior neck for chronic neck pain. Computed tomography of the head showed hemorrhage in the fourth, third, and lateral ventricles. A lumbar puncture confirmed the presence of blood. Magnetic resonance angiography with gadolinium did not reveal any saccular aneurysms or arteriovenous malformations. The patient's headache resolved over a period of 28 days without any neurological deficits. Acupuncture of the posterior neck can cause acute intracranial hemorrhage.
authors.affiliation: Department of Medicine, Loma Linda University Medical Center, CA, USA.
authors.forename: D C
authors.initials: DC
authors.lastname: Choo
authors.forename: G
authors.initials: G
authors.lastname: Yue
mesh_terms: D015670:Acupuncture Therapy / Q000009:adverse effects*; D000208:Acute Disease; D000328:Adult; D001165:Arteriovenous Malformations / Q000175:diagnosis; D014695:Cerebral Ventriculography; D003937:Diagnosis, Differential; D005682:Gadolinium; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis; D020300:Intracranial Hemorrhages / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000209:etiology*; D018810:Magnetic Resonance Angiography; D008297:Male; D019547:Neck Pain / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D005682:Gadolinium