From the Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA (Drs. Prasad and Khella); and Department of Radiology, Division of Nuclear Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA (Drs. El-Haddad and Zhuang).
Intracranial Hypotension Following Chiropractic Spinal Manipulation
Article first published online: 13 OCT 2006
Headache: The Journal of Head and Face Pain
Volume 46, Issue 9, pages 1456–1458, October 2006
How to Cite
Prasad, S., El-Haddad, G., Zhuang, H. and Khella, S. (2006), Intracranial Hypotension Following Chiropractic Spinal Manipulation. Headache: The Journal of Head and Face Pain, 46: 1456–1458. doi: 10.1111/j.1526-4610.2006.00589_1.x
- Issue published online: 13 OCT 2006
- Article first published online: 13 OCT 2006
- Accepted for publication June 9, 2006.
- intracranial hypotension;
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 radionuclide cisternography. Cervical spinal manipulation produced a remote lumbar dural tear in our patient. Spinal magnetic resonance imaging may falsely localize the dural tear in this condition. Although conservative management is often sufficient, precise localization is required for more invasive therapies.