台灣外科醫學會雜誌

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	第58卷第3期 2025-5 Elevating the standards of scientific editing in clinical surgery: Learning from editorial and journal role models
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	第58卷第3期 2025-5 Improving online physician evaluations for surgeons using sentiment analysis and alternative perspectives
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	第58卷第3期 2025-5 COVID-19, COVID-19 vaccination, risk of cardiac myxoma in view of clinical surgery
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	第58卷第3期 2025-5 Eggplant deformity in penile fracture
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	第58卷第3期 2025-5 Comments on “Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center”
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	第58卷第3期 2025-5 Impact of fluorescence-guided surgery on splenic preservation: A case of splenic hydatidosis
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	第58卷第3期 2025-5 Adult pancreatoblastoma presentingwith obstructive jaundice: A case report and literature review
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	第58卷第3期 2025-5 Long-term comparative outcomes in patients undergoing transcatheter aortic valve implantation with self-expanding valves versus balloon-expandable valves: A retrospective observational study
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	第58卷第3期 2025-5 Comparative study between the effectiveness of Amnion-CollaGee (Collagen-Gelatin-Elastin) as a biological product wound dressing and conventional dressing on the donor site of the split-thickness skin graft in animals model (rats)
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	第58卷第3期 2025-5 Enhancing mortality Probability Model II predictive accuracy with the lethal triad in intensive care unit trauma patients: A retrospective study
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	第58卷第3期 2025-5 Dr. Shao-Wei Chen's contribution to analysis of outcomes of patients undergoing cardiac surgery and aortic disease: Big data analytics
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	第58卷第2期 2025-3 Predatory publisher and low standard journal: An emerging problem in clinical surgery field
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	第58卷第2期 2025-3 Conflict of interest in clinical surgery: Contemporary concern in digital era
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	第58卷第2期 2025-3 Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication
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	第58卷第2期 2025-3 Spontaneous bilateral basal ganglia hemorrhage
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	第58卷第2期 2025-3 Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis
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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