Intracranial hypotension following chiropractic spinal manipulation
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Updated: Jul 19, 2026

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
Published on: June 18, 2021
Sashank Prasad1, Ghassan El-Haddad, Hongming Zhuang
1Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Abstract:
We report a case of intracranial hypotension caused by chiropractic manipulation which, in contrast to previously reported cases, documents the location of the cerebrospinal fluid leak by radionuclide cisternography. Cervical spinal manipulation produced a remote lumbar dural tear in our patient. Spinal magnetic resonance imaging may falsely localize the dural tear in this condition. Although conservative management is often sufficient, precise localization is required for more invasive therapies.
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