TY - JOUR T1 - Acute Lumbar Spinal Subdural Hematoma Inducing Paraplegia After Lumbar Spinal Manipulation: Case Report and Literature Review. AU - Benyaich,Zakariae, AU - Laghmari,Mehdi, AU - Lmejjati,Mohamed, AU - Aniba,Khalid, AU - Ghannane,Houssine, AU - Ait Benali,Said, Y1 - 2019/05/09/ PY - 2019/04/28/received PY - 2019/05/01/accepted PY - 2019/5/13/pubmed PY - 2020/1/22/medline PY - 2019/5/13/entrez KW - Cauda equina syndrome KW - Spinal manipulative therapy KW - Spinal subdural hematoma KW - Surgical decompression SP - 182 EP - 185 JF - World neurosurgery JO - World Neurosurg VL - 128 N2 - BACKGROUND: Traumatic spinal subdural hematoma is an extremely rare occurrence that requires urgent investigation and most often prompt intervention. To our knowledge, this is the first reported case related to a spinal manipulative therapy. CASE DESCRIPTION: This report describes a case of traumatic lumbar subdural hematoma after a spinal manipulative therapy without any predisposing factor. A 23-year-old man was admitted to the emergency department for partial cauda equina syndrome after a spinal manipulation performed by a physiotherapist. Magnetic resonance imaging showed an acute spinal subdural hematoma at L2-L3 level with cauda equina compression. The patient underwent an emergency L2 laminectomy with evacuation of the hematoma. He recovered completely his neurologic functions after 1 week. CONCLUSION: Practitioners of spinal manipulations should be aware of spinal subdural hematoma as a possible complication. A rapid diagnosis with magnetic resonance imaging is mandatory, and emergency surgical decompression is usually the optimal treatment for spinal subdural hematomas with severe neurologic deficit. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/31078801/Acute_Lumbar_Spinal_Subdural_Hematoma_Inducing_Paraplegia_After_Lumbar_Spinal_Manipulation:_Case_Report_and_Literature_Review_ DB - PRIME DP - Unbound Medicine ER -