台灣外科醫學會雜誌

中文 | ENG

	第58卷第2期 2025-3 Predatory publisher and low standard journal: An emerging problem in clinical surgery field
.........................
	第58卷第2期 2025-3 Conflict of interest in clinical surgery: Contemporary concern in digital era
.........................
	第58卷第2期 2025-3 Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication
.........................
	第58卷第2期 2025-3 Spontaneous bilateral basal ganglia hemorrhage
.........................
	第58卷第2期 2025-3 Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis
.........................
	第58卷第2期 2025-3 Supra-sternal reconstruction for a high-hanging fruit like right subclavian artery aneurysm
.........................
	第58卷第2期 2025-3 Operations for choledochal cysts: A 25-year experience at a tertiary care center in India
.........................
	第58卷第2期 2025-3 A case report: Can a titanised polypropylene mesh (TiMesh) obviate a dual mesh for sandwich technique for parastomal hernias?
.........................
	第58卷第2期 2025-3 Recurrent gallstone ileus, a deadly encounter: A case report
.........................
	第58卷第2期 2025-3 The changes in dietary intake and tolerance for Chinese food after bariatric surgery in Taiwan
.........................
	第58卷第2期 2025-3 Diagnostic value of trans-recto-perineal ultrasound in perianal fistula—preoperative versus intraoperative findings: A comparative cross-section study
.........................
	第58卷第2期 2025-3 Efficacy and safety of extended-release dinalbuphine sebacate for postoperative analgesia: A systematic review and meta-analysis
.........................
	第58卷第2期 2025-3 Dynamic changes in segmented neutrophil-to-monocyte ratio in trauma patients with stress-induced hyperglycemia: A retrospective study
.........................
	第58卷第1期 2025-1 Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies
.........................
	第58卷第1期 2025-1 Estimated risk for transfusion of monkeypox contaminated perioperative blood transfusion: A call to action for stronger regulations and testing protocols
.........................
	第58卷第1期 2025-1 Insights into traumatic and crisis surgery: Implications of data analysis in conflict zones
.........................
	第58卷第1期 2025-1 Tongue peeling as an adverse reaction with use of micronized purified flavonoid: A case report
.........................
	第58卷第1期 2025-1 Pilonidal sinus of scrotum: A rare clinical entity
.........................
	第58卷第1期 2025-1 Incidental autopsy finding of retiform hemangioendothelioma of the spleen
.........................
	第58卷第1期 2025-1 Retroperitoneal laparoscopy for hydronephrosis due to multiple fibroepithelial polyps: A case series
.........................

登入帳號才能閱讀全文

篇名	Cervical Epidural Hematoma after Naprapthy Manipulation in a Patient with C-2 Fracture and Chronic Atlanto-axial Subluxation --- Case Report
作者	Wen-Cheng Lo, Ging-Shan Huang
卷期/出版年月	30卷6期 (1997/12)
頁次	420-423
摘要	Naprapathy manipulation used in treatment of neck pain is very popular, but naprapathy manipulation induced cervical epidural hematoma has never been reported in the literature. A spinal epidural hematoma (SEH) occurred in the cervical spinal canal after naprapathy therapy in a 73-year-old man who had a history of odontoid fracture and chronic atlanto-axial subluxation. The patient presented with severe neck pain and myelopathic syndrome that had developed during the naprapathy manipulation. Emer- gency magnetic resonance imagining revealed an acute epidural hematoma extending ventrally from C-2 to C-3. After 3 weeks of conservative treat-ment, full urinary bladder sphincter control was restored and the patient could ambulate freely with the aid of an aluminum walker. There were no serious sequela related to the SEH. We conclude that spinal naprapathy manipulation is not without risks and may result in serious morbidity. Conservative treatment of SEH may be appropriate in cases where only a short segment is involved and there is continuous neurological recovery.
關鍵詞	cervical manipulation, spinal epidural hematoma
分類	Original Articles