The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
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Cervical Dural Tear induced by Cervical Chuna Manipulation Treatment : A Case Report

경추추나치료 후 발생한 경막파열 환자 1례 보고

  • Kong, Jae-Cheol (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Park, Tae-Yong (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Ko, Youn-Seok (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Won, Jae-Kyun (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Park, Darn-Seo (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Shin, Byung-Cheul (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University)
  • 공재철 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 박태용 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 고연석 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 원재균 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 박단서 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 신병철 (원광대학교 한의과대학 한방재활의학과교실)
  • Published : 2006.06.30
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Abstract

Objectives : A rare case of dural tear ensuing after a cervical Chuna Manipulation Treatment leading to cerebrospinal fluid (CSF) leakage in the lower cervical and upper thoracic spine was found, so we report it. Methods : A 32-year-old woman presented with back and neck pain in 1 days earlier. The patient undertook a cervical Chuna Manipulation Treatment. After this maneuver, the patient complained of an orthostatic headache with nausea. The patient's headache worsened, and lying down gave the only measure of limited relief. In Brain CT and MRI study, nonspecific finding was detected. In Cistemography study, CSF leakage at lower cervical or upper thoracic area was detected. Results and Conclusions : It is supposed that this patient suffered a dural tear and CSF leakage secondarily due to a cervical Chuna Manipulation Treatment. From this case, we can understand the etiology of dural tear to some extent and consider the complication of Chuna Manipulation Treatment. In the future, more study, research and prospective trial for complications of a cervical Chuna Manipulation Treatment is needed.

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