不當推拿引起的頸部脊髓病變︰病例報告

Cervical Myelopathy Due to Inadequate Manipulation: Case Report

劉耀宗(Yiu-Chung Lau) ； 陳悅檉(Yued-Cheng Chen) ； 梁秋萍(Chau-Peng Leong) ； 黃美涓(May-Kuen Wong)

《中華民國復健醫學會雜誌》 20期 (1992/12) Pp. 205-207

摘要

推拿是民間常用來治療酸痛的一種方法，但全身各部酸痛原因很多。若非經過詳細檢查及診斷，便接受推拿，不但會廷誤病情，可能會進一步造成病人傷害。本篇將報告二位患者，有頸髓病變經推拿後，造成更進一步傷害的病例，以供參考。

並列摘要

Manipulation is a classical method used to treat musculo-skeletal soreness and pain with its own indications , but the etiologies of aching pain are versatile. It is extremely dangerous to apply manipulation before adequate diagnosis. This is a report of two cases with injury of cervical cord myelopathy by inadequate manipulation.
The first patient was 52 year-old man who suffered form neck and right hand soreness for move than a year. He received manipulation two weeks before this episode. He had a sense of electrical shock during manipulation with numbness and weakness of all the extremities developed gradually after he returned home. He became disabled from walking later on. The CT scan of cerival spine showed a tumor located at C7 level. Post-op pathological report was neurilemmoma. The patient could ambulate well with walker after rehabilitation. The second patient was a 32 year old man with the chief complaint of neck soreness, left side weakness and urinary retenion developed after manipulation.
The CT spine and x-ray showed. He received surgery and rehabilitation program with good recovery. From the experience of these two cases, we did learn that manipulation is a king of treatment need for a clear and unambiguous statement of principles, chaims and limitations. It will be very dangerous in the application manual therapy to spine by non-medical chiropractors who were not trained in anatomy or neuroanatomy. The undesirable side effects and complications should be avoided.

並列關鍵字

inadequate manipulation ； Cervical myelopathy