Morelli Nicola, Gallerini Simone, Gori Sara, Chiti Alberto, Cosottini Mirco, Orlandi Giovanni, Murri Luigi
University Centre for Adaptive Disorders and Headache, Section of Pisa I - Institute of Neurology, Department of Neurosciences, University of Pisa, I-56126, Pisa, Italy.
J Headache Pain. 2006 Sep;7(4):211-3. doi: 10.1007/s10194-006-0308-0. Epub 2006 Aug 11.
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.
颈椎推拿已与多种疾病相关，如颈动脉硬化，但与颅内低压的关系鲜有报道。我们描述了一名在脊椎按摩师进行颈椎治疗后出现颅内低压综合征的患者。磁共振成像显示颈椎水平存在硬脑膜渗漏，提示了该综合征的发病机制。我们指出，颈椎推拿应被视为一种具有神经并发症风险的治疗方法，包括颅内低压的发生。
