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Published on: June 18, 2021
Unusual subdural hematoma after SPA use.
Chieh-Hsun Lee1, Yuk-Keung Lo, Chi-Kuang Liang
1Division of Neurology, Department of Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
A man developed a subdural hematoma (SDH) after using a spa's high-pressure water jets on his head. This case suggests spa hydrotherapy might be a potential cause for SDH in some individuals.
Area of Science:
- Neurology
- Radiology
- Public Health
Background:
- Subdural hematoma (SDH) is a serious condition typically caused by head trauma.
- Sanitas per aqua (SPA) facilities offer various hydrotherapy treatments, including high-pressure water jets.
Observation:
- A 72-year-old male presented with severe headache following exposure to high-pressure water jets at a SPA facility.
- Cerebral computed tomography (CT) confirmed a right tentorial subdural hematoma.
Findings:
- This is the first documented case linking SPA hydrotherapy to subdural hematoma.
- The high-pressure water directed at the head and neck is the suspected causative factor.
Implications:
- Neurologists should consider SPA use as a potential risk factor for SDH and unexplained neurological symptoms.
- Further research is warranted to understand the relationship between hydrotherapy and cerebrovascular events.
- Patients should be informed about the potential risks associated with high-pressure water treatments.
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