CERVICAL EPIDURAL HEMATOMA AFTER CHIROPRACTIC MANIPULATION IN A HEALTHY-YOUNG WOMAN - CASE-REPORT

OBJECTIVE AND IMPORTANCE: Posttraumatic spinal epidural hematoma is an uncommon entity. We present the first report of spinal epidural hemat oma occurring after chiropractic manipulation in a healthy young adult without preexisting cervical disease or any obvious predisposing fact ors. CLINICAL PRESENTATION: The patient presented with radicular and m yelopathic symptoms that developed 15 minutes after chiropractic manip ulation. Computed tomography and magnetic resonance imaging were perfo rmed. They revealed a cervical epidural hematoma. INTERVENTION: The he matoma was evacuated, and all of the patient's neurological symptoms i mproved over the course of the next 3 days. CONCLUSION: Although cervi cal spinal epidural hematoma is a rare clinical entity, it must be con sidered in patients with pain or neurological deficit after cervical t rauma.