Gi H, Takahashi J, Kanamoto H, Matsubayashi K, Mikuni N, Okamoto S
Department of Neurosurgery, Osaka Red Cross Hospital.
No Shinkei Geka. 1994 Feb;22(2):151-4.
It is very rare for neurosurgeons to encounter cases of spinal cord injury caused by a broken acupuncture needle. A 45-year-old man was referred to our clinic because of urinary retention about two weeks after acupuncture therapy (a needle was broken during treatment). The patient showed no motor weakness, or sensory disturbance. The needle was seen transversely stabbing the spinal cord at C1/2 on CT imaging and X-ray film. In all of the reported seven cases of longitudinal stab injuries (posterior puncture), sensorimotor disturbances were present. In transverse stab injuries (lateral puncture), however, two cases did not show motor weakness but sensory disturbance. The centrifugal pathway for micturition in the spinal cord lies in the middle one third of the lateral columns and in the width of the central canal. The patient complained of urinary retention because the bilateral descending fibers might have been stabbed by the needle. Surgical treatment relieved the patient from his complaint.
神经外科医生极少遇到因针灸针断裂导致脊髓损伤的病例。一名45岁男性在接受针灸治疗（治疗过程中一根针断裂）约两周后，因尿潴留被转诊至我们诊所。患者未表现出运动无力或感觉障碍。CT成像和X线片显示针横向刺入C1/2水平的脊髓。在所有已报道的7例纵向刺伤（后入路穿刺）病例中，均存在感觉运动障碍。然而，在横向刺伤（侧入路穿刺）病例中，有2例未表现出运动无力，但有感觉障碍。脊髓中排尿的离心传导通路位于外侧柱的中三分之一和中央管的宽度范围内。患者主诉尿潴留，可能是因为双侧下行纤维被针刺伤。手术治疗使患者的症状得到缓解。
