Sasaki H, Abe H, Iwasaki Y, Tsuru M, Itoh T
No Shinkei Geka. 1984 Sep;12(10):1219-23.
Two cases of the direct spinal cord and root injury caused by acupuncture were presented with a review of eight cases reported previously. Case 1 was 56 years old female who had been developed progressive lumbar pain, which occasionally radiating to the right lateral femoral region, since she had been treated with acupuncture for lumbago 13 months before. Examination revealed the mild sensory impairment on the right lateral femoral area and straight-leg-raising was limited on the both sides. Plain films and myelogram showed the needle between L4/L5 vertebrae and the tip of it stuck in the lumbar root. She recovered after the needle had been removed. Case 2 was 17 years old male who had initially noticed numbness over his left foot after acupuncture for easy fatiguability, which had been progressed stepwise over 2 years, and then examination revealed Brown-Séquard syndrome. Radiological examination showed the needle stuck in the spinal cord between C1/C2 vertebrae and metrizamide CT myelogram disclosed the posterior end of it was in the subarachnoid space. Operative finding revealed a small cavity around the needle in the spinal cord. The needle was removed uneventfully. There was a good recovery of weakness but not of sensation. Although the direct spinal cord and root injury as a complication of acupuncture seems uncommon, our cases show one of a serious complication of acupuncture.
本文报告了2例因针刺导致脊髓和神经根直接损伤的病例，并回顾了此前报道的8例病例。病例1为一名56岁女性，13个月前因腰痛接受针刺治疗后，逐渐出现进行性腰痛，偶尔放射至右大腿外侧区域。检查发现右大腿外侧区域轻度感觉障碍，双侧直腿抬高受限。X线平片和脊髓造影显示针位于L4/L5椎体之间，针尖刺入腰神经根。取出针后患者康复。病例2为一名17岁男性，因易疲劳接受针刺治疗后最初注意到左脚麻木，2年中症状逐渐进展，随后检查发现布朗 - 色夸综合征。影像学检查显示针卡在C1/C2椎体之间的脊髓内，甲泛葡胺CT脊髓造影显示针的后端位于蛛网膜下腔。手术发现脊髓内针周围有一个小空洞。针顺利取出。肌力恢复良好，但感觉未恢复。虽然针刺作为一种并发症导致的脊髓和神经根直接损伤似乎并不常见，但我们的病例显示了针刺的一种严重并发症。
