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Acta Neurologica Belgica https://doi.org/10.1007/s13760-023-02244-8 LE T TER TO THE EDITOR Cervical spinal epidural abscess secondary to acupuncture: a case report and literature review 1 1 1 1,2 Yun‑Wen Song · Po‑Sung Yang · I‑Chin Cheng · Chih‑Hsien Hung Received: 11 November 2022 / Accepted: 13 March 2023 © The Author(s) under exclusive licence to Belgian Neurological Society 2023 Keywords Spinal epidural abscess · Acupuncture Introduction week for the relief of pain caused by cerebral palsy-related musculoskeletal spasms. One week before his admission, Spinal epidural abscess (SEA) is a rare infectious disease he had received acupuncture therapy as usual over his right that can cause catastrophic neurological deficits. Abscesses neck and shoulder, with an insertion site over the right upper enclosed within the spinal structure compress the spinal shoulder and posterior neck region (acupoints: GV14, GB cord and, thus, cause severe focal pain, motor weakness and 21, SI14, SI15 and BL11). even death. Systemic medical conditions are known to pre- A biochemistry study in the ED revealed leukocytosis dispose the disease development, including parental drug (15.01 × 109/L) with neutrophil dominance (89%), along abuse, bacteremia and immunocompromised statuses. In rare with elevated C reactive protein levels (118 mg/dL). Other conditions, medical interventions can also associate with the biochemistry
Acta Neurologica Belgica – Springer Journals
Published: Mar 23, 2023
Keywords: Spinal epidural abscess; Acupuncture
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