Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Cervical Spinal Cord Injury Caused by Acupuncture

침 시술 이후 발생한 경추 척수 손상

  • Woo, Young-Ha (Department of Orthopedic Surgery, Daedong Hospital) ;
  • Lee, Ji-Min (Department of Orthopedic Surgery, Daedong Hospital) ;
  • Shim, Dae-Moo (Department of Orthopedic Surgery, WonKwang University Hospital) ;
  • Bae, Hyuk (Department of Orthopedic Surgery, Daedong Hospital)
  • 우영하 (부산 대동병원 정형외과) ;
  • 이지민 (부산 대동병원 정형외과) ;
  • 심대무 (원광대학교병원 정형외과) ;
  • 배혁 (부산 대동병원 정형외과)
  • Received : 2019.08.08
  • Accepted : 2019.10.22
  • Published : 2020.12.30
⟨ Previous Next ⟩

Abstract

Acupuncture, which is a procedure of inserting needles in a specific portion of the body to control pain, is conducted widely. The procedure is considered relatively safe because of its minimal side effects and low occurrence (1 in 200,000). On the other hand, its side effects include neurological damage, infection, hematoma, emphysema, etc. The authors report a case of cervical neurological damage that occurred after an acupuncture procedure.

침술은 치료적 목적으로 신체의 특정부위에 바늘을 삽입하는 시술로 근골격계 질환의 증상 완화 목적으로 대중적으로 행해지는 술기이다. 침술 이후 심각한 합병증은 20만 예 중 1예 가량으로 발생률이 낮고 대부분의 경우 증상이 가볍고 일시적이므로 비교적 안전하다. 하지만 신경계 손상, 감염, 혈종, 폐기종 등 심각한 합병증이 발생할 수 있다. 저자들은 침술 이후 발생한 경추 척수 손상을 유발한 1예를 경험하였기에 이를 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

  1. Eghbal K, Ghaffarpasand F. An acute cervical subdural hematoma as the complication of acupuncture: case report and literature review. World Neurosurg. 2016;95:616.e11-3. https://doi.org/10.1016/j.wneu.2016.08.090
  2. Xu S, Wang L, Cooper E, et al. Adverse events of acupuncture: a systematic review of case reports. Evid Based Complement Alternat Med. 2013;2013:581203.
  3. Lee JH, Lee H, Jo DJ. An acute cervical epidural hematoma as a complication of dry needling. Spine (Phila Pa 1976). 2011;36:E891-3. https://doi.org/10.1097/BRS.0b013e3181fc1e38
  4. Domenicucci M, Marruzzo D, Pesce A, Raco A, Missori P. Acute spinal epidural hematoma after acupuncture: personal case and literature review. World Neurosurg. 2017;102:695.e11-4. https://doi.org/10.1016/j.wneu.2017.03.125
  5. Murata K, Nishio A, Nishikawa M, Ohinata Y, Sakaguchi M, Nishimura S. Subarachnoid hemorrhage and spinal root injury caused by acupuncture needle--case report. Neurol Med Chir (Tokyo). 1990;30:956-9. https://doi.org/10.2176/nmc.30.956
  6. Park J, Ahn R, Son D, Kang B, Yang D. Acute spinal subdural hematoma with hemiplegia after acupuncture: a case report and review of the literature. Spine J. 2013;13:e59-63.
  7. Lee JH, Cho JH, Jo DJ. Cervical epidural abscess after cupping and acupuncture. Complement Ther Med. 2012;20:228-31. https://doi.org/10.1016/j.ctim.2012.02.009
  8. Chen MH, Chen MH, Huang JS. Cervical subdural empyema following acupuncture. J Clin Neurosci. 2004;11:909-11. https://doi.org/10.1016/j.jocn.2004.02.011
  9. Chou PC, Chu HY, Lin JG. Safe needling depth of acupuncture points. J Altern Complement Med. 2011;17:199-206. https://doi.org/10.1089/acm.2010.0192