Journal of Manipulative and Physiological Therapeutics
Volume 29, Issue 7 , Pages 582-585 , September 2006

Spinal Epidural Hematoma After Spinal Manipulative Therapy in a Patient Undergoing Anticoagulant Therapy: A Case Report

  • James M. Whedon, DC

      Affiliations

    • Trauma Registrar, Trauma Program, Dartmouth-Hitchcock Medical Center, Lebanon, NH; and Private Practice of Chiropractic, Grantham, NH
    • Corresponding Author InformationSubmit requests for reprints to: James M. Whedon, DC, Trauma Registrar, Trauma Program, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756.
    • ,
  • Patricia B. Quebada, MD

      Affiliations

    • Resident, Department of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH
    • ,
  • David W. Roberts, MD

      Affiliations

    • Section Chief, Department of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH
    • ,
  • Tarek A. Radwan, MD

      Affiliations

    • Resident, Department of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH

Received 1 October 2005 ,Revised 8 November 2005 ,Accepted 13 November 2005.

References 

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  2. Bracken MB, Shepard MJ, Collins WF, et al. A randomized controlled trial of methylprednisolone or naloxone in the treatment of acute spinal cord injury: results of the Second National Acute Spinal Cord Injury Study. N Engl J Med. 1990;322:1405–1411
  3. Pan G, Kulkarni M, MacDougall DJ, Miner ME. Traumatic epidural hematoma of the cervical spine: diagnosis with magnetic resonance imaging. Case report. J Neurosurg. 1988;68:798–801
  4. Beatty RM, Winston KR. Spontaneous cervical epidural hematoma. A consideration of etiology. J Neurosurg. 1984;61:143–148
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  13. Cullen DJ, Bogdanov E, Htut N. Spinal epidural hematoma occurrence in the absence of known risk factors: a case series. J Clin Anesth. 2004;16:376–381
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  18. Powell FC, Hanigan WC, Olivero WC. A risk/benefit analysis of spinal manipulation therapy for relief of lumbar or cervical pain. Neurosurgery. 1993;33:73–78
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  20. Vaya A, Resureccion M, Ricart JM, Ortuno C, Ripoll F, Mira Y, et al. Spontaneous cervical epidural hematoma associated with oral anticoagulant therapy. Clin Appl Thromb Hemost. 2001;7:166–168
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PII: S0161-4754(06)00180-1

doi: 10.1016/j.jmpt.2006.06.017

Journal of Manipulative and Physiological Therapeutics
Volume 29, Issue 7 , Pages 582-585 , September 2006

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