Traumatic Subarachnoid Hemorrhage Associated With Acupuncture

Tsukazaki, Yuji; Inagaki, Takayuki; Yamanouchi, Yasuo; Kawamoto, Keiji; Oka, Nubuyuki

doi:10.1111/j.1526-4610.2008.01139.x

Cited by 10 publications

(10 citation statements)

References 1 publication

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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%

“…The brain injuries were an acute intracranial hemorrhage [71], an injury to the medulla oblongata [72], a subarachnoid hemorrhage [76], and an intracranial hemorrhage with cerebellar infarction [56]. Three were due to needle insertion; the medulla injury was caused by a broken needle.…”

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

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“…In patients who developed complications of cerebral hemorrhage, symptoms such as headache, nausea and vomiting developed rapidly after acupuncture, requiring hospital care from several hours up to 3 days post acupuncture. [2][3][4] In this case, the patient came to the ER 4 h after receiving acupuncture despite a severe headache.…”

Section: Discussionmentioning

confidence: 99%

“…Acupuncture is a traditional method of treatment that has been extensively used for centuries in a number of Asian countries, including Korea, Japan, and China for pain control as well as for treatment of various diseases. Acupuncture has been known to be a fairly safe procedure with little side effects, but at times serious adverse events such as infection, pneumothorax, injury of either the central or peripheral nervous system, and cardiac injury may occur 1–3 . We are reporting a case of intraventricular hemorrhage (IVH) as rare complication after acupuncture.…”

Section: Introductionmentioning

confidence: 99%

Intraventricular hemorrhage after acupuncture

Shin

Park

Cho

et al. 2017

Hong Kong Journal of Emergency Medicine

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Acupuncture is a traditional treatment method that has been extensively used for centuries in a number of Asian countries for pain control as well as for treatment of various diseases. Acupuncture has been known to be a safe procedure with little side effects, but at times serious complications such as infection, pneumothorax, central or peripheral nerve injury and cardiac injury may occur. Cases of cerebral hemorrhage by acupuncture are rare with few being reported. A 32-year-old woman presented with a headache that occurred after acupuncture at posterior neck. We diagnosed her symptoms initially as peripheral nerve irritation by acupuncture and administered analgesic only. However, the final diagnosis was turned up to be intraventricular hemorrhage. The authors emphasize that acupuncturists and emergency physicians should know that acupuncture can lead to intracranial hemorrhage as a serious complication and this should be considered in all causes of headache for diagnosis without prejudice.

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“…Other incidents (less frequent) reported in the literature but not less important are cardiac tamponade [21,39,51,75,77], granulomas [23], fistulas [24,38], necrosis [25,42,85], infections [27,57,119], abscesses [27,45,61,71,74,76], pneumoretroperitoneum [32], hemorrhages [35], hemopericardium [37], haematomas [40,64,67,109,111,117], chilotorax [41], organ perforation [48,60], needle rupture [53,55,117], hemiplegia [54], hemothorax [56], peritonitis [66], cellulitis [72], hypokalemic paralysis [84], nerve injury [86,99,102,107,108,110,116], weakness …”

Section: Most Prevalent Adverse Effectsmentioning

confidence: 99%

Needling Therapies in the Outpatient Care: Adverse Effects

Llamas-Ramos¹,

Llamas-Ramos²

2022

Ultimate Guide to Outpatient Care

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The invasive techniques have been used for many years. There is a lot of literature on the advances that have been made, as well as the adverse effects or possible complications that have occurred during the performance of these treatments. Acupuncture and injections (saline, anesthetics, corticosteroids or botulinum toxin) have reported several cases of complications. Dry needling is also beginning to have several publications of this type. The objective of this chapter is to summarize the articles published in relation to adverse effects of needling therapies to promote a good practice and knowledge. Original articles in form of randomized controlled trials, case reports and reviews relating adverse effects and possible complications due to invasive/needling techniques: acupuncture, injections and dry needling have been included. 102 articles met the inclusion criteria between January 2000 and January 2020. The first limitation found in the literature was the huge variety of cases, therapists and incidents to generalize. As a conclusion we can stated the importance of a good knowledge of the anatomy and its variants, the correct application of these techniques and a continuous training of these therapists must be essential.

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Traumatic Subarachnoid Hemorrhage Associated With Acupuncture

Cited by 10 publications

References 1 publication

Adverse Events of Acupuncture: A Systematic Review of Case Reports

Adverse Events of Acupuncture: A Systematic Review of Case Reports

Intraventricular hemorrhage after acupuncture

Needling Therapies in the Outpatient Care: Adverse Effects

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