Abstract
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.
MeSH terms
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Arachnoid Cysts / diagnosis
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Arachnoid Cysts / etiology*
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Arachnoid Cysts / physiopathology
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Cerebrospinal Fluid Pressure / physiology
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Cervical Vertebrae / physiopathology*
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Dura Mater / injuries*
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Dura Mater / pathology
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Dura Mater / physiopathology
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Fluid Therapy / methods
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Headache / etiology
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Headache / physiopathology
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Humans
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Infusions, Intravenous
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Intracranial Hypotension / diagnosis
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Intracranial Hypotension / etiology*
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Intracranial Hypotension / physiopathology
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Magnetic Resonance Imaging
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Male
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Manipulation, Chiropractic / adverse effects*
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Manipulation, Spinal / adverse effects*
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Middle Aged
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Spinal Nerve Roots / pathology
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Spinal Nerve Roots / physiopathology
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Treatment Outcome