J Korean Soc Spine Surg. 2009 Dec;16(4):290-293. Korean.
Published online Dec 31, 2009.
Copyright © 2009 Korean Society of Spine Surgery
Case Report

Cervical Prevertebral Hematoma - a Rare Complication of Acupuncture Therapy - A Case Report-

Dae Ho Ha, M.D. and Sung Kyun Oh, M.D.
    • Department of Orthopedic Surgery, Wonkwang University Sanbon Hospital, Gunpo, Korea.
Received July 21, 2009; Accepted November 16, 2009.

Abstract

A 36-year old man with neck pain developed an acute cervical prevertebral hematoma after acupuncture therapy at an oriental medicine hospital. MR imaging demonstrated a fluid collection, and this suggested a diagnosis of retropharyngeal hematoma, and the patient was managed conservatively. We report here on a case of a retropharyngeal hematoma following acupuncture therapy and we review the relevant literature.

Keywords
Cervical spine; Retropharynx; Hematoma

Figures

Fig. 1
(A) Initial lateral radiograph shows a widening of the retropharyngeal space. (B) Last follow up lateral radiograph shows a decreased shadow of retropharyngeal space.

Fig. 2
MRI of Cervical spine. (A) Sagittal T2 weighted images show a hyperintense retropharyngeal collection that extends from the nasopharynx to the laryngopharynx. The air way is mildly compromised. (B) Sagittal T 1 weighted images show a low intensity at the retropharygeal space. (C) Axial T2 weighted image shows a high intensity well defined retropharyngeal collection and left side longus coli muscle hemorrhagic change.

References

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