Prasad Sashank, El-Haddad Ghassan, Zhuang Hongming, Khella Sami
Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Headache. 2006 Oct;46(9):1456-8. doi: 10.1111/j.1526-4610.2006.00589_1.x.
We report a case of intracranial hypotension caused by chiropractic manipulation which, in contrast to previously reported cases, documents the location of the cerebrospinal fluid leak by radionuclide cisternography. Cervical spinal manipulation produced a remote lumbar dural tear in our patient. Spinal magnetic resonance imaging may falsely localize the dural tear in this condition. Although conservative management is often sufficient, precise localization is required for more invasive therapies.
