Intracranial hypotension syndrome following chiropractic manipulation of the cervical spine.
Cervical spine manipulation has been associated with several disorders such as cervical arteries dissection, but rarely has a relationship with intracranial hypotension been reported. We describe a patient showing intracranial hypotension syndrome following chiropractic cervical spine treatment. Magnetic resonance showed the presence of dural leakage at cervical level, suggesting the pathogenesis of the syndrome. We state that cervical spine manipulation should be considered a treatment with risk of neurological complications, including the occurrence of intracranial hypotension.
Morelli
Nicola
N
University Centre for Adaptive Disorders and Headache, Section of Pisa I - Institute of Neurology, Department of Neurosciences, University of Pisa, I-56126, Pisa, Italy. n.morelli@inwind.it
Gallerini
Simone
S
Gori
Sara
S
Chiti
Alberto
A
Cosottini
Mirco
M
Orlandi
Giovanni
G
Murri
Luigi
L
D016080:Arachnoid Cysts / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D015170:Cerebrospinal Fluid Pressure / Q000502:physiology; D002574:Cervical Vertebrae / Q000503:physiopathology*; D004388:Dura Mater / Q000293:injuries* / Q000473:pathology / Q000503:physiopathology; D005440:Fluid Therapy / Q000379:methods; D006261:Headache / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007262:Infusions, Intravenous; D019585:Intracranial Hypotension / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D026882:Manipulation, Chiropractic / Q000009:adverse effects*; D020393:Manipulation, Spinal / Q000009:adverse effects*; D008875:Middle Aged; D013126:Spinal Nerve Roots / Q000473:pathology / Q000503:physiopathology; D016896:Treatment Outcome