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Intracranial hypotension syndrome following chiropractic manipulation of the cervical spine

Abstract

Cervical spine manipulation has been associated with several disorders such as cervical arteries dissection, but rarely has a relationship with intracranial hypotension been reported. We describe a patient showing intracranial hypotension syndrome following chiropractic cervical spine treatment. Magnetic resonance showed the presence of dural leakage at cervical level, suggesting the pathogenesis of the syndrome. We state that cervical spine manipulation should be considered a treatment with risk of neurological complications, including the occurrence of intracranial hypotension.

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Correspondence to N. Morelli.

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Open Access This is an open access article distributed under the terms of the Creative Commons Attribution Noncommercial License ( https://creativecommons.org/licenses/by-nc/2.0 ), which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

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Morelli, N., Gallerini, S., Gori, S. et al. Intracranial hypotension syndrome following chiropractic manipulation of the cervical spine. J Headache Pain 7, 211–213 (2006). https://doi.org/10.1007/s10194-006-0308-0

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Key words

  • Chiropractic
  • Intracranial hypotension syndrome
  • Headache