A systematic literature review of intracranial hypotension following chiropractic

  title={A systematic literature review of intracranial hypotension following chiropractic},
  author={P. Tuchin},
  journal={International Journal of Clinical Practice},
  • 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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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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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.
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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
  • S. Albayram
  • Medicine
    The Journal of Headache and Pain
  • 2006
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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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More complications of spinal manipulation.
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