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Child's Nervous System

, Volume 35, Issue 5, pp 735–737 | Cite as

Thoracic epidural haematoma after spinal manipulation treatment

  • Sharon Y. Y. LowEmail author
  • Justin R. Ker
  • Lee Ping Ng
  • Wan Tew Seow
  • David C. Y. Low
Letter to the Editor
  • 24 Downloads

Dear Editor:

Spinal epidural haematoma (SEH) is an infrequent clinical diagnosis. In the setting of no known coagulopathy, mitotic or vascular lesion, the most common cause is that of significant trauma. In present times, the use of spine manipulation treatment (SMT) by complementary medicine health care professionals such as chiropractors is reputed to be effective for various spine-related complaints. Complications of SMT are reputed to be rare. We report the case of a paediatric patient who presented to us with spinal cord compression secondary to an acute thoracic SEH after undergoing SMT at a chiropractor. This case is discussed in corroboration with existing literature.

An 11-year-old male with no significant past medical history presented to the Emergency Department of another hospital complaining of lower back pain after a fall during a basketball game at school. According to documentation, there was some tenderness over the lumbar para-spinal region, but the patient...

Notes

Compliance with ethical standards

Conflict of interest declaration

We, the authors of this manuscript, report no funding, financial support or industrial affiliations received for the writing of this article. In addition, we report no conflict of interest concerning the material or methods used in this paper. This manuscript has not been published and is not being considered for publication elsewhere.

References

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Sharon Y. Y. Low
    • 1
    • 2
    • 3
    Email author
  • Justin R. Ker
    • 1
  • Lee Ping Ng
    • 1
  • Wan Tew Seow
    • 1
    • 2
    • 3
  • David C. Y. Low
    • 1
    • 2
    • 3
  1. 1.Neurosurgical ServiceKK Women’s and Children’s HospitalSingaporeSingapore
  2. 2.Department of NeurosurgeryNational Neuroscience InstituteSingaporeSingapore
  3. 3.SingHealth Duke-NUS Neuroscience Academic Clinical ProgramSingaporeSingapore

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