Acupuncture needles causing lumbar cerebrospinal fluid fistula

Ulloth, Joel E.; Haines, Stephen J.

doi:10.3171/spi.2007.6.6.567

Cited by 7 publications

(9 citation statements)

References 9 publications

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“…There were nine cases of central nervous system injury, including five spinal cord injuries [55, 73–75, 77] and four of brain injury [56, 71, 72, 76]. …”

Section: Resultsmentioning

confidence: 99%

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Adverse Events of Acupuncture: A Systematic Review of Case Reports

Wang

Cooper

et al. 2013

Evidence-Based Complementary and Alternative Medicine

150

126

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Acupuncture, moxibustion, and cupping, important in traditional Eastern medicine, are increasingly used in the West. Their widening acceptance demands continual safety assessment. This review, a sequel to one our team published 10 years ago, is an evaluation of the frequency and severity of adverse events (AEs) reported for acupuncture, moxibustion, and cupping between 2000 and 2011. Relevant English-language reports in six databases were identified and assessed by two reviewers. During this 12-year period, 117 reports of 308 AEs from 25 countries and regions were associated with acupuncture (294 cases), moxibustion (4 cases), or cupping (10 cases). Country of occurrence, patient's sex and age, and outcome were extracted. Infections, mycobacterial, staphylococcal, and others, were the main complication of acupuncture. In the previous review, we found the main source of infection to be hepatitis, caused by reusable needles. In this review, we found the majority of infections to be bacterial, caused by skin contact at acupoint sites; we found no cases of hepatitis. Although the route of infection had changed, infections were still the major complication of acupuncture. Clearly, guidelines such as Clean Needle Technique must be followed in order to minimize acupuncture AEs.

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“…There were nine cases of central nervous system injury, including five spinal cord injuries [55, 73–75, 77] and four of brain injury [56, 71, 72, 76]. …”

Section: Resultsmentioning

confidence: 99%

“…Two of the spinal injuries were caused by migrating broken needles [55, 75]; the others were probably the result of needling too deeply. All patients recovered after treatment.…”

Section: Resultsmentioning

confidence: 99%

Adverse Events of Acupuncture: A Systematic Review of Case Reports

Wang

Cooper

et al. 2013

Evidence-Based Complementary and Alternative Medicine

150

126

View full text Add to dashboard Cite

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“…Ulloth et al [12] reported a case of a CSF fistula caused by an acupuncture needle. In the present case, CSF leakage was observed immediately after removal of the needle.…”

Section: Discussionmentioning

confidence: 99%

A sewing needle in contact with the cervical dura mater and vertebral artery

et al. 2016

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Rationale:Although cervical foreign bodies have been previously reported, the report of a needle in the cervical spinal cord is rare. Herein, we report a rare case of a sewing needle in contact with the cervical dura mater and vertebral artery.Patients concerns:A 47-year-old man presented with discomfort in the posterior region of his neck. Approximately 2 years before admission, he suffered a stiff neck and had stabbed the posterior region of his neck with a sewing needle. The sewing needle had deeply entered his neck, and he left it alone because it could not be identified or removed. On examination, the patient had a full range of neck motion, but was experiencing discomfort. Cervical spine radiographs revealed a metal foreign body oriented from between the C2 and C3 spinous processes to the anterior cervical spine.Diagnosis:Computed tomography (CT) myelogram and CT angiogram revealed that the sewing needle was penetrating into the foramen transversarium and was in contact with the cervical dura mater and the right vertebral artery.Interventions:The sewing needle was removed under general anesthesia.Outcomes:Cerebrospinal fluid leakage occurred immediately after removal of the needle. Symptoms of discomfort disappeared without any complications.Lessons:This is the first report of a sewing needle that entered the cervical spinal canal while avoiding the cervical spine and the vertebral artery. Although no symptoms occurred for nearly 2 years, surgical removal of a foreign body near the cervical spinal cord and vertebral artery should be performed as soon as possible, before the occurrence of symptoms.

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“…The exact cause of the headache remains uncertain, but meningeal irritation due to the presence of a foreign body 12,13 is a plausible explanation, since there was no CSF leakage, which usually causes headache. 18,19 Nevertheless, no other signs of meningeal irritation were present. Only 1 case reported in the literature describes a headache (together with pain and stiffness) in a patient with a foreign body in the spinal canal.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic migration of a Kirschner wire into the spinal canal without spinal cord injury: case report

Minić

Lepić

Novaković

et al. 2016

SPI

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The migration of Kirschner wires (K-wires) is a rare but significant complication of osteosynthesis interventions, and numerous cases of wire migrations have been reported in the literature. Nevertheless, migration into the spinal canal is very rare, with only 10 cases reported thus far. The authors present a case of K-wire migration into the spinal canal, together with a review of the relevant literature. A 30-year-old male who had suffered a right clavicle fracture in a motorcycle accident was treated with 2 K-wires. Four months after the initial fixation, while he was lifting his child, he experienced short-term pain in his back, numbness in all 4 extremities, followed by a spontaneous decrease in numbness affecting only the ulnar nerve dermatomes bilaterally, and a persistent headache. No urinary incontinence was present. Simple radiography studies of the cervical spine revealed a wire in the spinal canal, penetrating the T-2 foramen and reaching the contralateral foramen of the same vertebra. Computerized tomography showed the wire positioned in front of the spinal cord. Surgery for wire extraction was performed with the patient under general anesthesia, and he experienced relief of the symptoms immediately after surgery. This case is unique because the wire caused no damage to the spinal cord but did cause compression-related symptomatology and headache, which have not been reported in osteosynthesis wire migration to the thoracic region.

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Acupuncture needles causing lumbar cerebrospinal fluid fistula

Cited by 7 publications

References 9 publications

Adverse Events of Acupuncture: A Systematic Review of Case Reports

Adverse Events of Acupuncture: A Systematic Review of Case Reports

A sewing needle in contact with the cervical dura mater and vertebral artery

Symptomatic migration of a Kirschner wire into the spinal canal without spinal cord injury: case report

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