A systematic literature review of intracranial hypotension following chiropractic

@article{Tuchin2014ASL,
  title={A systematic literature review of intracranial hypotension following chiropractic},
  author={P. Tuchin},
  journal={International Journal of Clinical Practice},
  year={2014},
  volume={68}
}
  • P. Tuchin
  • Published 1 March 2014
  • Medicine
  • International Journal of Clinical Practice
Intracranial hypotension (IH) is caused by a leakage of cerebrospinal fluid (often from a tear in the dura) which commonly produces an orthostatic headache. It has been reported to occur after trivial cervical spine trauma including spinal manipulation. Some authors have recommended specifically questioning patients regarding any chiropractic spinal manipulation therapy (CSMT). Therefore, it is important to review the literature regarding chiropractic and IH. 
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References

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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
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TLDR
It is stated that cervical spine manipulation should be considered a treatment with risk of neurological complications, including the occurrence of intracranial hypotension, following chiropractic cervical spine treatment.
Intracranial hypotension and abducens palsy following upper spinal manipulation
TLDR
An example of cervical manipulation-induced intracranial hypotension with ophthalmoplegia is reported, where a 46-year-old woman developed orthostatic headache and a unilateral abducens palsy within days of upper cervical manipulation by a chiropractor.
Intracranial hypotension syndrome following chiropratic manipulation of the cervical spine
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  • Medicine
    The Journal of Headache and Pain
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TLDR
In this case report, the authors did not use CT myelography or radionuclide cisternography for showing dural leak and fistula and mentioned that total spine MR imaging performed with myelographic sequences documented an arachnoid cyst of the third cervical root and suggested the presence of a dural leakage.
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TLDR
A case of a 54-year-old man who was successfully treated with epidural blood patches for intracranial hypotension due to cerebrospinal fluid leakage into the lumbosacral area after spine surgery is reported.
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TLDR
A case of intracranial hypotension ensuing after a spinal chiropractic manipulation leading to CSF isodense effusion in the upper cervical spine is reported.
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TLDR
It is proposed that this is an important cause of new daily persistent headaches, which is usually relatively easy to diagnose, and if recognised early, is eminently treatable.
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TLDR
This is the first case of spontaneous intracranial hypotension in which spinal chiropractic manipulation coincided with the development of symptoms and in which a CSF collection in the upper cervical and thoracic spine was demonstrated radiographically in Korea.
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TLDR
An unusual case of intracranial hypotension due to presumed dural tear, a heretofore unreported complication of cervical chiropractic manipulation is added.
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TLDR
A characteristic symptom of SIH is headache that worsens in the upright position and improves in the recumbent position; this headache can not be attributed to any known previous cause and it may be associated with other symptoms such as neck pain, nausea, vomiting, diplopia, tinnitus, vertigo, blurring vision, and upper limb radicular symptoms.
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