Spinal epidural hematoma after spinal manipulation therapy:Report of three cases and a literature review  

作　　者：Hua Liu Tao Zhang Tao Qu Cheng-Wei Yang Song-Kai Li 

机构地区：[1]Department of Spine Surgery,The 940th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army,Lanzhou 730050,Gansu Province,China

出　　处：《World Journal of Clinical Cases》2021年第22期6501-6509,共9页世界临床病例杂志

基　　金：Supported by Chinese People’s Liberation Army Medical Technology Youth Training Program,No.20QNPY071.

摘　　要：BACKGROUND Spinal manipulation therapy(SMT)has been widely used worldwide to treat musculoskeletal diseases,but it can cause serious adverse events.Spinal epidural hematoma(SEH)caused by SMT is a rare emergency that can cause neurological dysfunction.We herein report three cases of SEH after SMT.CASE SUMMARY The first case was a 30-year-old woman who experienced neck pain and numbness in both upper limbs immediately after SMT.Her symptoms persisted after 3 d of conservative treatment,and she was admitted to our hospital.Magnetic resonance imaging(MRI)demonstrated an SEH,extending from C6 to C7.The second case was a 55-year-old man with sudden back pain 1 d after SMT,numbness in both lower limbs,an inability to stand or walk,and difficulty urinating.MRI revealed an SEH,extending from T1 to T3.The third case was a 28-year-old man who suddenly developed symptoms of numbness in both lower limbs 4 h after SMT.He was unable to stand or walk and experienced mild back pain.MRI revealed an SEH,extending from T1 to T2.All three patients underwent surgery after failed conservative treatment.The three cases recovered to ASIA grade E on day 5,1 wk,and day 10 after surgery,respectively.All patients returned to normal after 3 mo of follow-up.CONCLUSION SEH caused by SMT is very rare,and the condition of each patient should be evaluated in full detail before operation.SEH should be diagnosed immediately and actively treated by surgery.

关 键 词：Spinal epidural hematoma Spinal manipulation therapy Spinal cord injury Magnetic resonance imaging SURGERY Case report 

分 类 号：R244.1[医药卫生—针灸推拿学]