Cervical epidural hematoma after chiropractic manipulation in a healthy young woman: Case report

David H. Segal, Mika W. Lidov, Martin B. Camins

Research output: Contribution to journalArticlepeer-review

54 Scopus citations

Abstract

OBJECTIVE AND IMPORTANCE: Posttraumatic spinal epidural hematoma is an uncommon entity. We present the first report of spinal epidural hematoma occurring after chiropractic manipulation in a healthy young adult without preexisting cervical disease or any obvious predisposing factors. CLINICAL PRESENTATION: The patient presented with radicular and myelopathic symptoms that developed 15 minutes after chiropractic manipulation. Computed tomography and magnetic resonance imaging were performed. They revealed a cervical epidural hematoma. INTERVENTION: The hematoma was evacuated, and all of the patient's neurological symptoms improved over the course of the next 3 days. CONCLUSION: Although cervical spinal epidural hematoma is a rare clinical entity, it must be considered in patients with pain or neurological deficit after cervical trauma.

Original languageEnglish
Pages (from-to)1043-1045
Number of pages3
JournalNeurosurgery
Volume39
Issue number5
DOIs
StatePublished - Nov 1996
Externally publishedYes

Keywords

  • Cervical manipulation
  • Epidural hematoma

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