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題名 | Cervical Epidural Hematoma after Naprapthy Manipulation in a Patient with C-2 Fracture and Chronic Atlanto-Axial Subluxation--Case Report=慢性第二頸椎半脫位併急性頸部脊髓腦膜上血腫--推拿併發症 |
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作者姓名(中文) | 羅文政; 黃金山; |
作者姓名(外文) | Lo, Wen-cheng; Huang, Ging-shan; |
書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 30:6 民86.11-12 |
頁次 | 頁420-423 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | 頸椎; 推拿; 併發症; Cervical manipulation; Spinal epidural hematoma; |
中文摘要 | 脊椎推拿,按摩,對於頸部肌肉痙攣疼痛,可能有些療效,但若上述不適,伴有器質性病變,則可能引發相當嚴重的併發症。 我們報告一病例,病人有慢性第二頸椎骨折,半脫位,由於頸部不適,經推拿治療導致急性頸部脊髓上血腫壓迫脊髓神經的併發症。 我們報告此一罕見病例,及其治療過程。 |
英文摘要 | Naprapathy manipulation used in treatment of neck pain is very popular, but naprapathy manipulation induced cervical epidural hematoma has never been reported in the literature. A spinal epidural hematoma (SEH) occurred in the cervical spinal canal after naprapathy therapy in a 73-yearold man who had a history of odontoid fracture and chronic atlanto-axial subluxation. The patient presented with severe neck pain and myelopathic syndrome that had developed during the naprapathy manipulation. Emergency magnetic resonance imagining revealed an acute epidural hematoma extending ventrally from C-2 to C-3. After 3 weeks of conservative treatment, full urinary bladder sphincter control was restored and the patient could ambulate freely with the aid of an aluminum walker. There were no serious sequela related to the SEH. We conclude that spinal naprapathy manipulation is not without risks and may result in serious morbidity. Conservative treatment of SEH may be appropriate in cases where only a short segment is involved and there is continuous neurological recovery. |
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