Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Intracranial hypotension with its characteristic orthostatic headache, a not infrequent complication of lumbar puncture, may also occur spontaneously. Evidence is accumulating that cervical manipulation can be a precipitating factor.1–6 When there are ophthalmic symptoms and signs, the patient may present to an ophthalmologist.7 Here we report an example of cervical manipulation-induced intracranial hypotension with ophthalmoplegia. A 46-year-old woman developed orthostatic headache and a unilateral abducens palsy within days of upper cervical manipulation by a chiropractor. Magnetic resonance imaging (MRI) showed meningeal enhancement after gadolinium administration, which was initially interpreted to represent an infiltrative process. However, lumbar puncture documented a low opening pressure and a high cerebrospinal fluid (CSF) protein content. The patient …
Competing interests: None.