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Updated: Aug 10, 2026
Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Cervical epidural hematoma after chiropractic manipulation in a healthy young woman: case report
D H Segal1, M W Lidov, M B Camins
1Department of Neurological Surgery, Mount Sinai School of Medicine, City University of New York, USA.
Objective And Importance:
Posttraumatic spinal epidural hematoma is an uncommon entity. We present the first report of spinal epidural hematoma occurring after chiropractic manipulation in a healthy young adult without preexisting cervical disease or any obvious predisposing factors.
Clinical Presentation:
The patient presented with radicular and myelopathic symptoms that developed 15 minutes after chiropractic manipulation. Computed tomography and magnetic resonance imaging were performed. They revealed a cervical epidural hematoma.
Intervention:
The hematoma was evacuated, and all of the patient's neurological symptoms improved over the course of the next 3 days.
Conclusion:
Although cervical spinal epidural hematoma is a rare clinical entity, it must be considered in patients with pain or neurological deficit after cervical trauma.
