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KMID : 1155620060010010045
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Journal of Korea CHUNA Manual Medicine for Spine & Nerves
2006 Volume.1 No. 1 p.45 ~ p.50
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Cervical Dural Tear induced by Cervical Chuna Manipulation Treatment : A Case Report
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Kong Jae-Cheol
Shin Byung-Cheul
Park Darn-Seo
Park Tae-Yong
Ko Youn-Seok
Won Jae-Kyun
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Abstract
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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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KEYWORD
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Chuna Manipulation Treatment, Complication, Intracranial Hypotension, Dural Tear
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