Clinical Pain

Korean Association of Pain Medicine (대한임상통증학회)
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Late-Onset Spinal Subdural Hematoma after Acupuncture

침술치료 후 발생한 지연성 척추 경막하 혈종

  • Park, Hyo Sik (Department of Rehabilitation Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Kim, Jong Keun (Department of Rehabilitation Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Bae, Jin Seok (Department of Rehabilitation Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Jeong, Yong Sung (Department of Rehabilitation Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Lim, Jong Youb (Department of Rehabilitation Medicine, Eulji University Hospital, Eulji University School of Medicine)
  • 박효식 (을지대학교 의과대학 을지대학교병원 재활의학교실) ;
  • 김종근 (을지대학교 의과대학 을지대학교병원 재활의학교실) ;
  • 배진석 (을지대학교 의과대학 을지대학교병원 재활의학교실) ;
  • 정용성 (을지대학교 의과대학 을지대학교병원 재활의학교실) ;
  • 임종엽 (을지대학교 의과대학 을지대학교병원 재활의학교실)
  • Received : 2019.07.12
  • Accepted : 2019.09.30
  • Published : 2019.12.31
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Abstract

Acupuncture is generally regarded as a safe procedure and as a popular treatment for patients with musculoskeletal disorders. We report a case of a 47-year-old male patient with late-onset tetraplegia, developed after acupuncture. He had no trauma, medical, and social history relevant to tetraplegia. Right after the acupuncture, he felt discomfort in his right arm. After 6 days, all 4 extremity weakness developed. Whole-spine magnetic resonance imaging revealed the presence of spinal subdural hematoma extending from the C5 vertebra to the coccyx level. Hand coordination dysfunction, neurogenic bladder, and neuropathic pain were other symptoms. After the management, he recovered muscle strength, but incomplete bladder control and neuralgia were sustained. It is important to be aware of the possibilities of severe complications after acupuncture.

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