Tominaga Yoshiteru, Hirayama Ichiro, Nonaka Minaho, Yano Tetsuhiro, Ishii Mitsuru
Department of Emergency Medicine National Hospital Organization Saitama Hospital Saitama Japan.
Acute Med Surg. 2023 Aug 30;10(1):e886. doi: 10.1002/ams2.886. eCollection 2023 Jan-Dec.
Spinal epidural hematoma (SEH), which may develop into an emergency condition, is a rare disease. Here, we present the case of a patient with SEH caused by cervical massage using a commercial massage tool.
A 75-year-old man was brought to our hospital with a chief complaint of posterior neck pain during sleep. He had used a commercial massage tool before going to bed. Upon arrival, hypotension and respiratory failure were observed. His muscle strength in both the upper and lower extremities rated 0 on the manual muscle test, and sensory loss below the papillae was observed. His symptoms resolved spontaneously after 2 h. Magnetic resonance imaging suggested a spinal cord epidural hematoma at the C2/C3 to C3/C4 level. On day 6, the patient was discharged without any impairment.
Fatal complications could occur by cervical massage using a commercial massage tool.
脊髓硬膜外血肿（SEH）是一种罕见疾病，可能发展为紧急情况。在此，我们报告一例使用商用按摩工具进行颈部按摩导致脊髓硬膜外血肿的患者病例。
一名75岁男性因睡眠期间后颈部疼痛为主诉被送至我院。他睡前使用了商用按摩工具。入院时，观察到低血压和呼吸衰竭。其上下肢肌力在手法肌力测试中均为0级，乳头以下感觉丧失。2小时后其症状自行缓解。磁共振成像显示C2/C3至C3/C4水平存在脊髓硬膜外血肿。第6天，患者出院，无任何功能障碍。
使用商用按摩工具进行颈部按摩可能发生致命并发症。
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