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商用按摩工具导致的脊髓硬膜外血肿。

Commercial massage tool-induced spinal epidural hematoma.

作者信息

Tominaga Yoshiteru, Hirayama Ichiro, Nonaka Minaho, Yano Tetsuhiro, Ishii Mitsuru

机构信息

Department of Emergency Medicine National Hospital Organization Saitama Hospital Saitama Japan.

出版信息

Acute Med Surg. 2023 Aug 30;10(1):e886. doi: 10.1002/ams2.886. eCollection 2023 Jan-Dec.

DOI:10.1002/ams2.886
PMID:37664087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10468583/
Abstract

BACKGROUND

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.

CASE PRESENTATION

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.

CONCLUSION

Fatal complications could occur by cervical massage using a commercial massage tool.

摘要

背景

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。

病例介绍

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。

结论

使用商用按摩工具进行颈部按摩可能发生致命并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0d8/10468583/e0eb671b561f/AMS2-10-e886-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0d8/10468583/9a7e6ce38e89/AMS2-10-e886-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0d8/10468583/e0eb671b561f/AMS2-10-e886-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0d8/10468583/9a7e6ce38e89/AMS2-10-e886-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0d8/10468583/e0eb671b561f/AMS2-10-e886-g001.jpg

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本文引用的文献

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Spinal epidural hematoma in a patient on chronic anticoagulation therapy performing self-neck manipulation: a case report.一名正在接受慢性抗凝治疗的患者在进行自我颈部推拿后发生脊髓硬膜外血肿：病例报告
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Massage-induced spinal epidural hematoma presenting with delayed paraplegia.按摩致硬脊膜外血肿并迟发性截瘫
Am J Emerg Med. 2019 Apr;37(4):797.e1-797.e4. doi: 10.1016/j.ajem.2019.01.017. Epub 2019 Jan 15.
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Cervical Epidural Hematoma That Induced Sudden Paraparesis After Cervical Spine Massage: Case Report and Literature Review.
颈椎按摩后诱发急性双下肢轻瘫的颈段硬膜外血肿：病例报告及文献综述
World Neurosurg. 2018 Apr;112:217-220. doi: 10.1016/j.wneu.2018.01.178. Epub 2018 Feb 3.
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Is neck massage safe? A rare case of tetraplegia and spinal shock after neck manipulation.颈部按摩安全吗？一例颈部推拿后出现四肢瘫痪和脊髓休克的罕见病例。
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Spinal epidural hematoma after spinal manipulative therapy in a patient undergoing anticoagulant therapy: a case report.接受抗凝治疗的患者在脊柱手法治疗后发生脊柱硬膜外血肿：一例病例报告。
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